Obstetrics, gynecology and reproductive medicine guidelines

Menstruation disturbances, female gonadal disorders

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Abnormal uterine bleeding, menorrhagia

 

Canada

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

Cochrane

• Cochrane Library
  • Surgery versus medical therapy for heavy menstrual bleeding
  • Progestogens with or without oestrogen for irregular uterine bleeding associated with anovulation
  • Progesterone or progestogen-releasing intrauterine systems for heavy menstrual bleeding
  • Oral contraceptive pills for heavy menstrual bleeding
  • Nonsteroidal anti-inflammatory drugs for heavy menstrual bleeding
  • Non-surgical interventions for treating heavy menstrual bleeding (menorrhagia) in women with bleeding disorders
  • Metformin for endometrial hyperplasia
  • Endometrial resection and ablation versus hysterectomy for heavy menstrual bleeding
  • Endometrial resection and ablation techniques for heavy menstrual bleeding
  • Danazol for heavy menstrual bleeding
  • Cyclical progestogens for heavy menstrual bleeding
  • Antifibrinolytics for heavy menstrual bleeding

Hong Kong

• Hong Kong College of Obstetricians and Gynaecologists
  • Guidelines on Clinical Management of Endometrial Hyperplasia [2015]

International

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

• 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]

Republic of Korea

• 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]

Taiwan

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

United Kingdom

• 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]

• Health Technology Assessment
  • Cost-effectiveness of diagnostic strategies for the management of abnormal uterine bleeding (heavy menstrual bleeding and post-menopausal bleeding): a decision analysis [2014]

• National Institute for Health and Care Excellence
  • Heavy menstrual bleeding: assessment and management [2018]
  • Heavy menstrual bleeding [2018]
  • Uterine artery embolisation for treating adenomyosis [2013]
  • Heavy menstrual bleeding

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

• Royal College of Obstetricians and Gynaecologists
  • Endometrial Hyperplasia, Management of [2016]

United States of America

• American College of Obstetricians and Gynecologists
  • Options for Prevention and Management of Heavy Menstrual Bleeding in Adolescent Patients Undergoing Cancer Treatment [2014]
  • Von Willebrand Disease in Women [2013]
  • Management of Acute Abnormal Uterine Bleeding in Nonpregnant Reproductive-Aged Women [2013]

• American College of Radiology
  • Abnormal Vaginal Bleeding

• American Society for Reproductive Medicine
  • Abnormal Uterine Bleeding

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

• 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]

{Related topics}

• Guidelines
  • Uterine fibroids
  • Gynecologic ultrasound
  • Endometriosis