HMB GYN 2
This document is a guideline on the management of heavy menstrual bleeding (HMB) provided by the Department of Obstetrics & Gynaecology at the University of Ruhuna. It discusses the causes of HMB, the initial assessment process including history and examinations, recommended investigations such as pelvic ultrasound and hysteroscopy, and various management options including hormonal and non-hormonal treatments, surgical options, and the use of ulipristal acetate for premenopausal women with fibroids. The document also emphasizes the importance of considering the impact of HMB on a woman’s quality of life and tailoring treatment accordingly. The information in the document is based on the NICE guideline from March 2018.