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 more

No credit card details needed – it takes two minutes.

Join free trial

Login

Already a member? Login to view this content.

Login

"I have tried a few different platforms but nothing compares to the comfort and practicality of LocumDeck. The NASGP support team is absolutely wonderful and they walked me through the initial set-up. Once the set-up is complete, the booking process is so easy and literally happens with the click of a button. I also love the paperless pension form submissions through LocumDeck and it takes me no more than two minutes each month to send all the necessary pension forms to PCSE. I have already recommended LocumDeck to all my colleagues and it is a must-have for anyone thinking about entering the GP locum world. I wish every practice in the country would sign up."

Dr Priya Arunachalam, GP, Southampton

See the full list of features within our NASGP membership plans

Membership