Heavy Menstrual Bleeding Disease Summary

Overview

Heavy menstrual bleeding (HMB) is a common gynecological concern arising from various underlying etiologies and distinct pathophysiological mechanisms, as stated in the Introduction section.

A detailed discussion about the prevalence of heavy menstrual bleeding is in the Epidemiology section.

Discussion about the causes of abnormal uterine bleeding is in the Etiology section.

The Pathophysiology section states heavy menstrual bleeding is precipitated by any pathological process that disrupts endometrial endocrine, paracrine, or hemostatic mechanisms or impairs myometrial contractility. 

Heavy Menstrual Bleeding_Disease Summary

History and Physical Examination

The History section describes the goals and importance of history taking in women with heavy menstrual bleeding, while the Physical Examination section lists the evaluation that should be done in these patients. 

Diagnosis

Discussions on endometrial biopsy and blood tests are in the Laboratory Tests and Ancillaries section. 

The Imaging section explains the need for an ultrasound, hysteroscopy, and magnetic resonance imaging in the diagnosis of women with heavy menstrual bleeding.

Conditions that should be considered in the diagnosis of heavy menstrual bleeding are listed in the Differential Diagnosis section.

Management

General therapy principles and goals of therapy in the management of patients with heavy menstrual bleeding are in the Principles of Therapy section.

The Pharmacological Therapy section discusses different therapeutic options for women with heavy menstrual bleeding.

The role of surgical interventions in the management of patients with heavy menstrual bleeding is in the Surgery section.

The Monitoring section lists indications for specialist referral in women with heavy menstrual bleeding.