Heavy menstrual bleeding
Embrace the Journey, Nurture Life
Patient Information
Heavy Menstrual Bleeding (HMB)
What is heavy menstrual bleeding (HMB)?
Heavy menstrual bleeding is defined as excessive menstrual blood loss that interferes with a woman’s physical, social, or emotional quality of life. It is a common condition, affecting about one in four Australian women of reproductive age.
What are the symptoms of HMB?
Symptoms may include:
– Bleeding through clothing or needing to change pads/tampons every 1-2 hours, including overnight.
– Being unable to leave the house on the heaviest days.
– Fatigue, anxiety, or pelvic pain.
What causes HMB?
HMB can result from various factors, including hormonal imbalances, uterine fibroids, polyps, or other medical conditions. A thorough assessment by a healthcare provider is essential to determine the cause.
How is HMB diagnosed?
Diagnosis involves:
– A detailed medical history and physical examination.
– Exclusion of pregnancy, iron deficiency, and anemia.
– Additional tests, such as blood tests or imaging, based on the initial assessment.
What are the treatment options for HMB?
Treatment depends on the underlying cause and may include:
– Medical management: Medications like hormonal therapies or non-hormonal options for symptom relief.
– Minimally invasive procedures: Such as endometrial ablation.
– Surgical options: In severe cases, hysterectomy may be considered.
What does the Australian guideline recommend?
The updated Heavy Menstrual Bleeding Clinical Care Standard (2024) emphasizes:
– Offering the least invasive and most effective treatment tailored to the patient’s needs.
– Ensuring informed choice and shared decision-making between patients and clinicians.
– Addressing cultural safety and equity considerations in care.
What should I do if I think I have HMB?
If you suspect you have HMB, consult your healthcare provider. They will guide you through the assessment and help you choose the best treatment option for your situation.