Heavy Menstrual Bleeding Management
Heavy menstrual bleeding (HMB), also known as menorrhagia, is a common gynecological condition that significantly impacts a woman’s physical, emotional, and social well-being. It is defined as excessive menstrual blood loss that interferes with quality of life, regardless of measured volume. HMB affects a substantial proportion of women of reproductive age and is a frequent reason for consultation in primary care and referral to gynecology services. Despite its prevalence, many women delay seeking help, and management may be inconsistent across care settings.
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Learning Outcomes
What you'll learn
- Define heavy menstrual bleeding and understand its impact.
- Identify underlying causes using structured assessment.
- Apply evidence-based treatment options, including medical and surgical management.
- Recognise when to refer to specialist services.
- Provide patient-centred counselling and shared decision-making.
- Monitor treatment outcomes and prevent recurrence.
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Learning Outcomes
What you'll learn
- Define heavy menstrual bleeding and understand its impact.
- Identify underlying causes using structured assessment.
- Apply evidence-based treatment options, including medical and surgical management.
- Recognise when to refer to specialist services.
- Provide patient-centred counselling and shared decision-making.
- Monitor treatment outcomes and prevent recurrence.
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Training Overview
- Understanding Heavy Menstrual Bleeding
- Assessment and Diagnosis
- First-Line Medical Management
- Advanced and Surgical Management
- Special Populations and Considerations
- Patient Education, Monitoring and Follow-Up
- Summary
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Frequently asked questions
Excessive bleeding that affects quality of life, regardless of measured volume.
The levonorgestrel-releasing intrauterine system (LNG-IUS) is often first-line.
Blood tests, imaging, and clinical history are key components.
When medical treatment fails or is unsuitable.
Yes, prolonged heavy bleeding can lead to iron deficiency anaemia.
It is central to choosing appropriate treatment options.