Obstetrics, gynecology and reproductive medicine guidelines

Menstruation disturbances, female gonadal disorders

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Abnormal uterine bleeding, menorrhagia

Canada

• Society of Obstetricians and Gynaecologists of Canada
  • Gynaecological and obstetric management of women with inherited bleeding disorders [2005]
  • Guidelines for the Management of Abnormal Uterine Bleeding [2001]

International

• British Medical Journal
  • Second generation endometrial ablation techniques for heavy menstrual bleeding: network meta-analysis [2012]

• Cochrane Library
  • Surgery versus medical therapy for heavy menstrual bleeding
  • Progestogens versus oestrogens and progestogens for irregular uterine bleeding associated with anovulation
  • Progesterone or progestogen-releasing intrauterine systems for heavy menstrual bleeding
  • Pre-operative endometrial thinning agents before endometrial destruction for heavy menstrual bleeding
  • Oral contraceptive pills for heavy menstrual bleeding
  • Nonsteroidal anti-inflammatory drugs for heavy menstrual bleeding
  • Endometrial resection and ablation versus hysterectomy for heavy menstrual bleeding
  • Endometrial destruction techniques for heavy menstrual bleeding
  • Danazol for heavy menstrual bleeding
  • Cyclical progestogens for heavy menstrual bleeding
  • Antifibrinolytics for heavy menstrual bleeding

Malaysia

• Ministry of Health Malaysia
  • Clinical Practice Guidelines on Management of Menorrhagia [2004]

Sri Lanka

• Sri Lanka College of Obstetricians & Gynaecologists
  • Management of Abnormal Uterine Bleeding [2007]

United Kingdom

• Health Technology Assessment
  • Hysterectomy, endometrial ablation and Mirena® for heavy menstrual bleeding: a systematic review of clinical effectiveness and cost-effectiveness analysis [2011]

• Joint Royal Colleges Service Liaison Committee
  • Vaginal bleeding: gynaecological causes (including abortion) [2006]

• National Guideline Clearinghouse
  • Best practice in outpatient hysteroscopy. Royal College of Obstetricians and Gynaecologists [2011]

• National Institute for Health and Clinical Excellence
  • Services for the provision of intrauterine devices and the intrauterine system for contraception and the management of heavy menstrual bleeding [2008]
  • Heavy menstrual bleeding [2007]
  • Endometrial ablation service [2007]
  • Endometrial cryotherapy for menorrhagia [2006]
  • Photodynamic endometrial ablation [2004]
  • Menstrual bleeding - fluid-filled thermal balloon and microwave endometrial ablation [2004]
  • Impedance-controlled endometrial ablation for menstrual bleeding [2004]
  • IPG051 Free fluid thermal endometrial ablation [2004]
  • Microwave endometrial ablation [2003]
  • Balloon thermal endometrial ablation (using data from Cavaterm and Gynecare as specified by SERNIP) [2003]

• Royal College of Obstetricians and Gynaecologists
  • Glanzmann's syndrome and menorrhagia - query bank [2012]
  • Endometrial biopsy for perimenopausal bleeding - query bank [2012]
  • Endometrial ablation in older women - query bank [2012]
  • Endometrial ablation contra-indications - query bank [2012]
  • Best practice in outpatient hysteroscopy [2011]
  • Menstrual disorders and renal failure - query bank [2010]
  • Ultrasound investigation of menorrhagia - query bank [2009]

United States of America

• American College of Radiology
  • Abnormal Vaginal Bleeding [2010]

• American Society for Reproductive Medicine
  • Abnormal Uterine Bleeding

• CDC National Center on Birth Defects and Developmental Disabilities
  • Blood Disorders in Women

• Cincinnati Children's Hospital Medical Center
  • Menorrhagia [2011]

• Madigan Army Medical Center
  • Uterine Bleeding (Abnormal) Referral Guidelines [2009]

• National Guideline Clearinghouse
  • Evaluation and management of ovulatory heavy menstrual bleeding (HMB) in primary care. University of Texas at Austin School of Nursing, Family Nurse Practitioner Program [2012]
  • Diagnosis of abnormal uterine bleeding in reproductive-aged women. American College of Obstetricians and Gynecologists [2012]
  • Best evidence statement (BESt). Evaluation of heavy menstrual bleeding and menorrhagia in young menstruating females. Cincinnati Children's Hospital Medical Center [2011]
  • Expert Commentaries: Managing Numerous Outcomes: Experience from a Systematic Review of Abnormal Uterine Bleeding Trials [2010]
  • ACR Appropriateness Criteria® abnormal vaginal bleeding [2010]
  • Endometrial ablation. American College of Obstetricians and Gynecologists [2007]

• Society of Gynecologic Surgeons
  • A systematic review comparing hysterectomy with less-invasive treatments for abnormal uterine bleeding [2012]
  • Systematic review highlights difficulty interpreting diverse clinical outcomes in abnormal uterine bleeding trials [2011]

Articles in journals

• American Family Physician
  • Evaluation and Management of Abnormal Uterine Bleeding in Premenopausal Women [2012]

• British Medical Journal
  • Hysterectomy, endometrial ablation, and levonorgestrel releasing intrauterine system (Mirena) for treatment of heavy menstrual bleeding: cost effectiveness analysis [2011]
  • Hysterectomy, endometrial destruction, and levonorgestrel releasing intrauterine system (Mirena) for heavy menstrual bleeding: systematic review and meta-analysis of data from individual patients [2010]
  • Treatments for heavy menstrual bleeding [2003]

• Evidence-based Complementary and Alternative Medicine
  • Chinese Herbal Medicine for Dysfunctional Uterine Bleeding: A Meta-Analysis [2009]

• Fertility and Sterility
  • Abnormal uterine bleeding: a review of patient-based outcome measures [2008]

• Hematology
  • Bleeding Disorders in Premenopausal Women: (Another) Public Health Crisis for Hematology? [2006]

• Human Reproduction
  • Can we achieve international agreement on terminologies and definitions used to describe abnormalities of menstrual bleeding? [2007]

• Journal of Family Planning and Reproductive Health Care
  • Progesterone receptor modulators in gynaecological practice [2010]

• Journal of the American Board of Family Practice
  • Abnormal Uterine Bleeding: A Management Algorithm [2006]

• Medical Journal of Australia
  • Update on treatment of menstrual disorders [2003]

• Menopause
  • Mechanisms of Normal and Abnormal Endometrial Bleeding [2011]

• RadioGraphics
  • US of Abnormal Uterine Bleeding [2003]

• Reproductive Sciences
  • Decidualized Human Endometrial Stromal Cells Mediate Hemostasis, Angiogenesis, and Abnormal Uterine Bleeding [2009]

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