Heavy menstrual bleeding
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- 作者：Rashda Bano ; Shreelata Datta ; Tahir A. Mahmood
- 关键词：abnormal uterine bleeding ; endometrial ablation ; heavy menstrual bleeding ; hormonal treatment ; hysterectomy ; long acting injectable progestogens
- 刊名：Obstetrics, Gynaecology & Reproductive Medicine
- 出版年：2016
- 出版时间：June 2016
- 年：2016
- 卷：26
- 期：6
- 页码：167-174
- 全文大小：176 K
文摘
Heavy menstrual bleeding is defined as excessive menstrual blood loss which interferes with the woman's physical, emotional, social and material quality of life, and which can occur alone or in combination with other symptoms. In the majority of cases, an accurate history may indicate the cause of the bleeding. Common investigations include haematological blood tests, ultrasound scan and endometrial biopsy. Management may be medical or surgical, depending on the patient's age, pathology identified and fertility wishes. All interventions should aim to improve quality of life rather than focussing on menstrual blood loss alone. This review considers the intricacies involved when managing women with heavy menstrual bleeding.