examination of heavy menstrual bleeding

Last edited 06/2018

  • NICE recommend that:

    • physical examination should be undertaken before all:
      • if the woman has a history of HMB with other related symptoms (such as persistent intermenstrual bleeding, pelvic pain and/or pressure symptoms, that might suggest uterine cavity abnormality, histological abnormality, adenomyosis or fibroid)

      • before all investigations or levonorgestrel-releasing intrauterine system


  1. NICE (March 2018). Heavy menstrual bleeding