<prompt> Metropathica hemorrhagica is best treated by:Curettage of uterusProgestogenEstrogenClomiphene  <response>: Ans. is b, i.e. ProgestogenRef: Dutta Gynae 5thed, p184,187, 6thed, pMetropathica hemorrhagica is a type of anovulatory DUB, hence logically speaking it should be best treated by progesterone therapy.It is mostly seen in premenopausal women.Patients complain of a variable period of amenorrhea followed by excessive painless bleeding.On HPE-cystic glandular hyperplasia, Swiss cheese pattern is seen, and secretory changes are absentTreatment: In DUB due to anovular causes: Progesterones are the mainstay of therapy. They diminish the effects of estrogen on target cells by inhibiting oestrogen receptors. 