Any woman needs an evaluation of abnormal bleeding if it is persistent. While younger women may need only an exam and hormone adjustment, others may need more extensive testing to rule out serious disease and this can only be determined by an office visit. Once cancer or pre-cancer is ruled out, there are many options available for the treatment of heavy periods. Some of the out-patient, minimally invasive procedures available are hysteroscopic removal of polyps of fibroids, endometrial ablation including Novasure , or placement of the Mirena IUD.