Managing Heavy Menstrual Bleeding in General Practice

Based on an interview with Associate Professor Kirsten Black and Clinical Associate Professor Deborah Bateson conducted at the Annual Women’s and Children’s Health Update, Sydney in February 2018.

“Heavy menstrual bleeding” is the new term for menorrhagia.

This under-treated condition is easy to screen for in general practice. And screening for it is important as, apart from the discomfort, inconvenience, disturbed sleep, embarrassment and expense heavy menstrual bleeding causes, it is a major cause of iron deficiency in women.

Common causes of heavy menstrual bleeding include hormonal variations relating to menarche and menopause,  polycystic ovarian syndrome, polyps, fibroids and coagulation disorders.

Identifying heavy menstrual bleeding initially involves discussing menstrual patterns with patients, as the diagnosis relies on the subjective experience of the woman as it affects her physical, emotional, social and/or material quality of life.

Women may be unsure whether ...

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