Heavy menstrual bleeding (menorrhagia)

4th July 2018 by Louise Hudman

Heavy menstrual bleeding (menorrhagia)

NICE published an update to its guideline on heavy menstrual bleeding (menorrhagia) in March 2018. There are a couple of changes:

  • Hysteroscopy is now the first line investigation for most women who need investigating for heavy menstrual bleeding, rather than ultrasound.
  • There is no mention of age ’45’ now. In the old menorrhagia guideline, being over 45 was seen as being at higher risk and hence an indication for hysteroscopy. As that is now the first line investigation for most women, I guess being over 45 was less relevant.
  • Hysterectomy is a bit higher up the treatment pathway, but they don’t expect there to be a sudden jump in numbers done.

As I’ve not summarised this heavy menstrual bleeding guideline before and it is such a common condition, I’ll do a bit of a summary. This isn’t an exhaustive summary, just the most useful bits.

Menorrhagia diagnosis is nicely laid out in a single side flow sheet.

Read for free

Sign up to access everything.

Free trial

Login

Already a member? Login to view this content.

Login

"I have been working with NASGP as the main source of income since graduating. I can't recommend them more highly for newly-graduated GPs. They helped me with setting my terms and conditions and they even arranged a tutorial session about EMIS, as the system was new to me.

LocumDeck is a great help when it comes to organising sessions, pension forms and invoices for tax purposes.

NASGP was particularly supportive during the Covid-19 period. It recognised the effect it had on locum work, temporarily waived the already small fee on sessions and were keen on getting the members together in regular video meetings.

I'm a satisfied member of NASGP. "

Dr Nazar Ahmed

Dr Nazar Ahmed

See the full list of features within our NASGP membership plans

Membership