Menstruation disturbances, female gonadal disorders

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Abnormal uterine bleeding, menorrhagia

Australia

• Australian Journal of General Practice
  • Management of heavy menstrual bleeding in Australian general practice: An analysis of BEACH data [2021]

• Better Safer Care
  • Hysterectomy for heavy menstrual bleeding in non-pregnant, premenopausal women
  • Endometrial ablation for abnormal uterine bleeding
  • Dilatation and curettage for heavy menstrual bleeding

Brazil

• PLoS ONE
  • Prevalence of abnormal uterine bleeding in Brazilian women: Association between self-perception and objective parameters [2023]

Canada

• Alberta Health Services
  • Bleeding After Pregnancy Primary Care Pathway
  • Adolescent Abnormal Uterine Bleeding Primary Care Pathway
  • Abnormal Uterine Bleeding Primary Care Pathway

• CMAJ Open
  • Outpatient uterine assessment and treatment unit in patients with abnormal uterine bleeding: an economic modelling study [2020]

• Ontario Health
  • Levonorgestrel-Releasing Intrauterine System (52 mg) for Idiopathic Heavy Menstrual Bleeding: A Health Technology Assessment [2016]

• Society of Obstetricians and Gynaecologists of Canada
  • Endometrial Ablation in the Management of Abnormal Uterine Bleeding [2024]
  • Diagnosis and Management of Endometrial Polyps [2024]
  • Classification and Management of Endometrial Hyperplasia [2019]
  • Gynaecological and Obstetric Management of Women With Inherited Bleeding Disorders [2018]
  • Abnormal Uterine Bleeding in Pre-Menopausal Women [2018]

Canada, Europe

• Facts, Views & Vision in ObGyn
  • An overview of International AUB/HMB Guidelines [2023]

China

• European Journal of Surgical Oncology
  • Chinese guidelines on the management of endometrial hyperplasia [2024]

France

• PLoS ONE
  • The surgical treatment of idiopathic abnormal uterine bleeding: An analysis of 88 000 patients from the French exhaustive national hospital discharge database from 2009 to 2015 [2019]

• Vaccine
  • Risk of heavy menstrual bleeding following COVID-19 vaccination: A nationwide case-control study [2024]

Germany

• Institute for Quality and Efficiency in Health Care
  • Radiofrequency endometrial ablation for menorrhagia using a mesh electrode [2022]

High-income countries

• Medicina
  • Quality of Life, Anxiety and Depression in Women Treated with Hysteroscopic Endometrial Resection or Ablation for Heavy Menstrual Bleeding: Systematic Review and Meta-Analysis of Randomized Controlled Trials [2022]

Hong Kong

• Hong Kong College of Obstetricians and Gynaecologists
  • 2020 Hong Kong College of Obstetricians and Gynaecologists guideline on investigations of premenopausal women with abnormal uterine bleeding [2020]
  • Guidelines on Clinical Management of Endometrial Hyperplasia [2015]

India

• Federation of Obstetric and Gynecological Societies of India
  • Management of Abnormal Uterine Bleeding [2024]
  • Management Guidelines of Abnormal Uterine Bleeding in Reproductive Period. Evidence-based Good Clinical Practice Recommendations for Indian women [2016]

International

• Advances in Therapy
  • A Review of Clinical Guidelines on the Management of Iron Deficiency and Iron-Deficiency Anemia in Women with Heavy Menstrual Bleeding [2020]

• Blood Advances
  • Gynecologic and obstetric management of women with von Willebrand disease: summary of 3 systematic reviews of the literature [2022]

• BMC Women's Health
  • Pictorial methods to assess heavy menstrual bleeding in research and clinical practice: a systematic literature review [2020]

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

• Cochrane Database of Systematic Reviews
  • Interventions for heavy menstrual bleeding; overview of Cochrane reviews and network meta-analysis [2022]
  • Endometrial resection and ablation versus hysterectomy for heavy menstrual bleeding [2021]
  • Progestogen-releasing intrauterine systems for heavy menstrual bleeding [2020]
  • Levonorgestrel-releasing intrauterine system for endometrial hyperplasia [2020]
  • Interventions commonly available during pandemics for heavy menstrual bleeding: an overview of Cochrane Reviews [2020]
  • Non-steroidal anti-inflammatory drugs for heavy menstrual bleeding [2019]
  • Endometrial resection and ablation techniques for heavy menstrual bleeding [2019]

• International Federation of Gynecology and Obstetrics
  • Our path from abnormal uterine bleeding and iron deficiency to impaired fetal development: A long and winding road [2023]
  • Abnormal uterine bleeding: A well-travelled path to iron deficiency and anemia [2020]
  • The two FIGO systems for normal and abnormal uterine bleeding symptoms and classification of causes of abnormal uterine bleeding in the reproductive years: 2018 revisions Library [2018]
  • FIGO classification system (PALM-COEIN) for causes of abnormal uterine bleeding in nongravid women of reproductive age [2011]

• International Journal of Gynecology & Obstetrics
  • Therapeutic options for the management of abnormal uterine bleeding [2023]
  • Reflections on access to care for heavy menstrual bleeding: Past, present, and in times of the COVID-19 pandemic [2023]
  • Heavy menstrual bleeding, iron deficiency, and iron deficiency anemia: Framing the issue [2023]
  • Contemporary evaluation of women and girls with abnormal uterine bleeding: FIGO Systems 1 and 2 [2023]

• International Society on Thrombosis and Haemostasis
  • Standardizing care to manage bleeding disorders in adolescents with heavy menses-A joint project from the ISTH pediatric/neonatal and women's health SSCs [2020]

• Journal of Obstetrics and Gynaecology of India
  • Diagnosis and Management of Formerly Called “Dysfunctional Uterine Bleeding” According to PALM-COEIN FIGO Classification and the New Guidelines [2014]

Ireland

• Ireland's Health Services
  • The investigation and management of menorrhagia [2015]

Israel

• Reproductive Sciences
  • Abnormal Uterine Bleeding Among COVID-19 Vaccinated and Recovered Women: a National Survey [2023]

Japan

• Journal of Obstetrics and Gynaecology Research
  • National survey of abnormal uterine bleeding according to the FIGO classification in Japan [2023]

Netherlands

• American Journal of Obstetrics & Gynecology
  • Levonorgestrel-releasing intrauterine system versus endometrial ablation for heavy menstrual bleeding [2021]

• BJOG: An International Journal of Obstetrics & Gynaecology
  • The levonorgestrel intrauterine system versus endometrial ablation for heavy menstrual bleeding: a cost-effectiveness analysis [2021]

• European Journal of Obstetrics & Gynecology and Reproductive Biology
  • Practice variation in the stepped care approach to idiopathic heavy menstrual bleeding: A population-based study [2023]

• Journal of Thrombosis and Haemostasis
  • High prevalence of heavy menstrual bleeding in women with rare bleeding disorders in the Netherlands: retrospective data from the RBiN study [2023]

Poland

• Ginekologia Polska
  • Recommendations of the Group of Experts of the Polish Society of Gynecologists and Obstetricians regarding abnormal uterine bleeding in adolescents [2020]

Republic of Korea

• Journal of Korean Medical Science
  • Comprehensive Analysis of Iron Deficiency Anemia and Its Related Disorders in Premenopausal Women Based on a Propensity Score Matching Case Control Study Using National Health Insurance Service Database in Korea [2023]

• Obstetrics & Gynecology Science
  • Therapy of heavy menstrual bleeding in Korea: Subanalysis and results from a multinational clinical trial in the Asian region investigating the levonorgestrel-releasing intrauterine system versus conventional therapy [2015]

South Africa

• South African Society of Obstetricians and Gynaecologists
  • Guideline for the Management of Abnormal Uterine Bleeding (AUB) [2020]

Taiwan

• Taiwanese Journal of Obstetrics and Gynecology
  • Medical treatment for heavy menstrual bleeding [2015]

United Kingdom

• Academy of Medical Royal Colleges
  • Hysterectomy for heavy menstrual bleeding [2024]
  • Dilatation & curettage for heavy menstrual bleeding [2024]

• BMC Health Services Research
  • The delivery of heavy menstrual bleeding services in England and Wales after publication of national guidelines: a survey of hospitals [2013]

• BMJ Open
  • Factors associated with receiving surgical treatment for menorrhagia in England and Wales: findings from a cohort study of the National Heavy Menstrual Bleeding Audit [2019]
  • Sociodemographic differences in symptom severity and duration among women referred to secondary care for menorrhagia in England and Wales: a cohort study from the National Heavy Menstrual Bleeding Audit [2018]

• Health Technology Assessment
  • Rates of medical or surgical treatment for women with heavy menstrual bleeding: the ECLIPSE trial 10-year observational follow-up study [2023]
  • Laparoscopic supracervical hysterectomy compared with second-generation endometrial ablation for heavy menstrual bleeding: the HEALTH RCT [2019]

• National Institute for Health and Care Excellence
  • Heavy menstrual bleeding: assessment and management [2021]
  • 2021 exceptional surveillance of heavy menstrual bleeding: assessment and management (NICE guideline NG88) [2021]
  • Heavy menstrual bleeding (Quality standard) [2020]
  • Heavy menstrual bleeding

• Obstetrics, Gynaecology and Reproductive Medicine
  • Heavy menstrual bleeding management during the Covid pandemic [2021]

• PLoS ONE
  • Levonorgestrel-Releasing Intrauterine System vs. Usual Medical Treatment for Menorrhagia: An Economic Evaluation Alongside a Randomised Controlled Trial [2014]

• Right Decisions
  • Menstrual Disorders including Heavy Menstrual Bleeding (HMB)

• Royal College of Obstetricians and Gynaecologists
  • Joint RCOG, BSGE and BGCS guidance for the management of abnormal uterine bleeding in the evolving Coronavirus (COVID-19) pandemic [2020]
  • Management of Endometrial Hyperplasia [2016]

United States

• American College of Obstetricians and Gynecologists
  • Options for Prevention and Management of Menstrual Bleeding in Adolescent Patients Undergoing Cancer Treatment [2021]
  • Screening and Management of Bleeding Disorders in Adolescents With Heavy Menstrual Bleeding [2019]
  • Von Willebrand Disease in Women [2013]
  • Management of Acute Abnormal Uterine Bleeding in Nonpregnant Reproductive-Aged Women [2013]

• American College of Radiology
  • Abnormal Uterine Bleeding

• American Family Physician
  • Abnormal Uterine Bleeding in Premenopausal Women [2019]

• American Society for Reproductive Medicine
  • Abnormal Uterine Bleeding

• Archives of Gynecology and Obstetrics
  • Increasing utilization of intrauterine device insertion at hysteroscopic endometrial evaluation for patients with endometrial hyperplasia [2024]

• Centers for Disease Control and Prevention
  • Bleeding Disorders in Women

• Drug Safety
  • Comparative Risk Assessment of Severe Uterine Bleeding Following Exposure to Direct Oral Anticoagulants: A Network Study Across Four Observational Databases in the USA [2021]

• Hematology: the American Society of Hematology Education Program
  • Evaluation and management of heavy menstrual bleeding in adolescents: the role of the hematologist [2018]

• Permanente Journal
  • Acute Uterine Bleeding Unrelated to Pregnancy: A Southern California Permanente Medical Group Practice Guideline [2013]

• Society of Gynecologic Surgeons
  • Nonsurgical management of heavy menstrual bleeding: a systematic review [2013]
  • 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]

• StatPearls
  • Menorrhagia

{Related topics}

• Topic
  • Uterine fibroids
  • Gynecologic ultrasound
  • Endometriosis
  • Adenomyosis