Women's Health Medicine
Volume 2, Issue 3 , Pages 17-20, May 2005

Managing menorrhagia in primary care

  • Mini Zachariah

      Affiliations

    • Mini Zachariah is a Specialist Registrar in Obstetrics and Gynaecology at the Taunton and Somerset Hospital, UK. She qualified from Mahatma Gandhi University, India. Her research interests include effects of obesity on reproductive disorders and menstrual dysfunction. Her clinical interests are minimal access surgery and management of infertility.
    • ,
  • Guy Fender

      Affiliations

    • Guy Fender is a Consultant in Obstetrics and Gynaecology at the Taunton and Somerset Hospital, UK. He qualified from St Thomas' Hospital, completing training in Reproductive Medicine at Addenbrooke's Hospital, Cambridge, UK. His research interests include management of menorrhagia in primary care and clinical interests in minimal access surgery and one-stop clinics for menstrual dysfunction.

Abstract 

Excessive menstrual loss is a major health-care problem. Every year in the UK, around 1 in 20 women aged between 30 and 49 years will consult their GP because of heavy menstrual bleeding, thus menorrhagia is a considerable burden on primary care resources and may ultimately lead to referral. Once a patient is referred, surgical intervention is highly likely. Effective medical treatments exist at a primary care level. Active education of good management of menorrhagia and promotion of effective medical management in primary care halves the number of referrals. Involving patients in the decision-making process may increase the effectiveness of treatment. To empower them to make informed choices, women need comprehensive and evidence-based information on menorrhagia and the treatment options available.

Keywords:  menorrhagia and other menstrual problems , management , primary care , epidemiology , referral

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PII: S1744-1870(06)00055-2

doi:10.1383/wohm.2.3.17.67165

Women's Health Medicine
Volume 2, Issue 3 , Pages 17-20, May 2005

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