و عليكم السلام و رحمة الله و بركاته
1st
assess severity of bleeding
if mild i.e no anemia
Reassurance
non hormonal drugs
eg.antiPGs,antifibrinolytics,daflon &dicyanon
if moderate i.e anemia
correct anemia
oral hormonal therapy
eg.estrogen,progestron or combined
if severe HB<9gm/dl or hypovolemia
resuscitation with IV fluids& blood products
O.R.D.E.R for management of hypovolemic shock
O------>oxygenate
R------>restore circulatory volume
D------->drugs eg.dopamine
E-------->eliminate the source of bleeding
R-------->reassess the pt. condition& responce to therapy
immediate ttt with IV estrogens
long term oral hormonal ttt
if no responce------>surgical ttt
D&C
hysterectomy
hysteroscopic endometrial ablation
by YAG laser or electrocautery
or nonhysteroscopic endometrial ablation
by thermal ballon ablation,radiofrequancy,microwave
i hope this is what u was looking for