Anyone know what this is?

Renee

I’m at ends, my periods been crazy since August. They would normally last 5 days now 12 days or more. I thought birth control would help but now here I am bleeding 17 days. I messaged my doctor and he suggested either an iud or surgical management. I’m scared of even trying more birth control. I have to book an appointment to discuss. Anyone knows what surgical management is?????????