How I manage heavy menstrual bleeding

British Journal of Haematology
Menaka PaiRonald Barr

Abstract

Heavy menstrual bleeding (HMB) is a common clinical problem; population-based studies estimate that approximately 10-35% of women report this symptom during their lifetime, while about 5% of women consult a physician for evaluation of HMB. Patients with HMB account for 15% of all referrals to gynaecologists and are frequently seen by haematologists in bleeding disorder clinics as well. Heavy menstrual bleeding can be caused by a wide variety of local and systemic factors, so a careful clinical and laboratory evaluation is often necessary to determine the aetiology and guide appropriate management. This review discusses the definition, causes and clinical outcomes of HMB. It outlines a diagnostic approach and focuses on medical (as opposed to surgical) treatments. Throughout, areas of controversy and opportunities for further research are highlighted.

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Citations

Aug 5, 2015·Women's Health·Andrea FincoErrico Zupi
Mar 31, 2016·Haemophilia : the Official Journal of the World Federation of Hemophilia·S HalimehG Kappert
Oct 15, 2014·Clinical Obstetrics and Gynecology·Suji Uhm, Lisa Perriera
Feb 23, 2021·Health Science Reports·Mortadah AlsalmanAyman Albarrak

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