[Hypermenorrhoea].

Many treatment options of hypermenorrhoea are available. After exclusion of organic causes, which need often on operative treatment, many medical treatments can be performed. Tranexamic acid and oral contraceptives, preferable in extended cycle, can be used, but it should be also used Qlaira and Mirena, which have a label for the indication hypermenorrhoea. If the medical treatment has no success or is contraindicated, an operative treatment should be performed. Endometrial ablation is often a successful alternative treatment to hysterectomy in patients suffering from hypermenorrhoea.