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Examination of heavy menstrual bleeding

Authoring team

  • NICE recommend that:
    • 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

Reference:

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

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