Q: Is there any alternative to hysterectomy if the patient is bleeding continuously after taking the injection depo-provera, and if all investigations are normal including D & C report?

A:Yes, there are a number of options now available which can handle DUB effectively without hysterectomy, provided there is no genital malignancy. Most of them aim at endometrial ablation if reproduction is not desired and also oral Estrogens can be added if there are no contraindications to their usage. I hope systemic causes of DUB have been ruled out.