How is vaginal bleeding best treated?

Patient's question:

Patient Gender: Is there a correlation between vaginal bleeding or irregular menstruation and uterine diseases?
Detailed Medical Condition and Purpose of Consultation: Uterus and Menstruation
Duration of Current Illness and Duration of Symptoms: Two and a half months of continuous menstrual bleeding
Current General Condition: Still bleeding
Medical History: 11 years ago, underwent a cesarean section, and placed an intrauterine device (IUD) six months later. Menstruation has been abnormal ever since, with cycles of approximately 12 days.
Previous Diagnoses, Treatments, and Outcomes: About one year ago, removed the IUD due to discomfort as recommended by a doctor.
Ancillary Examinations: Ultrasound

Doctor's answer:

There is a correlation. You had better do a diagnostic D&C.

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