A definitive treatment for menorrhagia is to perform hysterectomy (removal of the uterus). The risks of the procedure have been reduced with measures to reduce the risk of deep vein thrombosis after surgery, and the switch from the front abdominal to vaginal approach greatly minimizing the discomfort and recuperation time for the patient; however extensive fibroids may make the womb too large for removal by the vaginal approach. Small fibroids may be dealt with by local removal ( myomectomy ). A further surgical technique is endometrial ablation (destruction) by the use of applied heat ( thermoablation ). 
The remainder is years, which is 44 years and 317 days. The full year date is 644 AD. Now calculate the month and day number, taking into account leap days over the 44 years. In the Gregorian Calendar, every fourth year is a leap year with the exception of centuries not evenly divisible by 400 (. 100, 200, 300). When the year is divisible by 400 (. 400, 800, etc.), do not add an extra day. Our calculated year is 644 AD. The number of leap days, keeping in mind that the year 600 is not a leap year, is 10. Subtracting that from 317 remainder days is 307; in other words, the 307th day of the year 644 AD, which is November 3. To summarize: the Long Count date corresponds to November 3, 644 AD, in the Proleptic Gregorian calendar .