Heavy Menstrual Bleeding Treatment and referral options
Heavy menstrual bleeding affects about one in four women. Comprehensive assessment is essential to determine the likely cause of the bleeding and its impact on a woman’s life; it includes exclusion of anaemia, iron deficiency and reproductive tract cancer. After excluding malignancy, first-line management in primary care is with pharmaceutical treatments. Other treatment options include endometrial ablation and hysterectomy.
Modern Medicine – Feb/March 2019
