Hello Doctor, My Mother's menstruation cycle is not getting stopped. her age is 43 yrs, She got her periods January 1st 2015 and then it continued for almost 8 days, later it stopped for 5-6 days and again started, this continued till date. Due to this her haemoglobin reduced to 4.5. So our family doctor suggested to get her admitted in hospital and get the blood transfusion done. So we admitted her on 28/01/2015 and continuous 3 days the blood transfusion was done. In total there were 3 bottles blood transfused in her body. Along with the blood transfusion Pause-MF tablets were given just to stop her bleeding, as her bleeding was heavy. Also through saline Pause injection was given. This procedure made her HB rise till 10 and also bleeding stopped, but as the injection course was over the bleeding started again in heavy manner. We consulted one Gynaecologist who gave us solution to insert Mirena Device which would stop her bleeding and other Gynaecologist suggested to remove the Uterus. So my question is which procedure would sense effective in case of this problem? Will Mirena insertion be suffice? Will it have any side effects in future on my Mother's body? Also when we are supposed to remove the uterus? Does it have any side effects on post removal? If yes then please let me know. Below are the details of the sonography reports and blood reports. HB previously: 4.5 HB current : 10 Pap Smear Test : Normal Sonography details: Clinical profile: Menorrhagia Uterus is anteverted and measures 120*59*83 mm The endometrail echo is central and is thick (17.9mm hperplasia) No focal/diffuse uterine abnormality seen. A well defined this walled cyst with clear contents is seen in the right ovary. It measures 52*39mm. The left Ovary is (32*17mm) looks normal. No andnexal abnormality is seen. There is no free fluid see in the cul-de-sac. IMPRESSION : Bulky uterus with a thick endometrial echo. For further avaluation. Right ovarian cyst. Tablets given to stop her bleeding: Xamic (2 times a day) course for 3 days. Just need a avdvise on which would be the right procedure to be followed? Mirena or Uterus removal and also its side effects ans future complications if any? Thanks