Uterine Sparing Surgical Techniques for HMB
Uterine Sparing Surgical Techniques for HMB is a Continuing Professional Development (CPD) course designed for healthcare professionals working in women’s health, gynaecology, nursing, primary care, perioperative services, radiology, and reproductive medicine. This course provides an evidence-based overview of heavy menstrual bleeding (HMB), including its pathophysiology, classification, assessment, medical management, referral pathways, and modern uterine-sparing surgical treatment options. Heavy menstrual bleeding is a common gynaecological condition that can significantly impact physical health, emotional wellbeing, work productivity, social participation, fertility planning, and quality of life. Many women experience fatigue, anaemia, pain, anxiety, and reduced daily functioning due to excessive menstrual blood loss. Early assessment and evidence-based treatment are essential for improving outcomes and preserving reproductive choice.
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Learning Outcomes
What you'll learn
- Understand the pathophysiology and classification of heavy menstrual bleeding (HMB).
- Recognise structural and non-structural causes of HMB.
- Conduct appropriate initial assessment and investigation of patients presenting with HMB.
- Identify red flag symptoms and understand when specialist referral is required.
- Understand the indications, benefits, and limitations of uterine-sparing surgical techniques.
- Compare hysteroscopic, laparoscopic, and open myomectomy approaches.
- Discuss endometrial ablation techniques and patient suitability.
- Understand the role of uterine artery embolisation and MR-guided focused ultrasound.
- Recognise indications for hysterectomy when conservative or uterine-sparing options are unsuitable.
- Promote patient-centred care, fertility preservation, and shared decision-making.
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Learning Outcomes
What you'll learn
- Understand the pathophysiology and classification of heavy menstrual bleeding (HMB).
- Recognise structural and non-structural causes of HMB.
- Conduct appropriate initial assessment and investigation of patients presenting with HMB.
- Identify red flag symptoms and understand when specialist referral is required.
- Understand the indications, benefits, and limitations of uterine-sparing surgical techniques.
- Compare hysteroscopic, laparoscopic, and open myomectomy approaches.
- Discuss endometrial ablation techniques and patient suitability.
- Understand the role of uterine artery embolisation and MR-guided focused ultrasound.
- Recognise indications for hysterectomy when conservative or uterine-sparing options are unsuitable.
- Promote patient-centred care, fertility preservation, and shared decision-making.
Stay updated with our


Training Overview
- Understanding Heavy Menstrual Bleeding and Classification
- Assessment, Investigation, and Referral Pathways
- Myomectomy as a Uterine-Sparing Surgical Technique
- Endometrial Ablation Techniques
- Uterine Artery Embolisation and MRgFUS
- Hysterectomy, Patient Education, and Shared Decision-Making
- Summary
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Frequently asked questions
HMB refers to excessive menstrual bleeding that negatively affects a woman’s quality of life.
Common causes include fibroids, adenomyosis, hormonal imbalance, bleeding disorders, and endometrial abnormalities.
Myomectomy is a surgical procedure that removes uterine fibroids while preserving the uterus.
Pregnancy is not recommended after endometrial ablation, and contraception is usually advised.
UAE is a minimally invasive procedure that blocks blood flow to fibroids to reduce their size and symptoms.
Hysterectomy may be recommended when symptoms are severe or when conservative treatments are ineffective or unsuitable.
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