Examination of heavy menstrual bleeding

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Dysfunctional uterine bleeding

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physical examination should be undertaken:

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 a levonorgestrel-releasing intrauterine system is used

Heavy menstrual bleeding: assessment and management.  NG88. NICE Guideline (March 2018 - updated May 2021)

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Examination of heavy menstrual bleeding

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