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Menorrhagia (heavy menstrual bleeding) - Management
When should I refer?
- Refer the woman to a specialist if:
- There are alarm symptoms suggesting a possible malignancy. Urgent referral is required (within 2 weeks).
- Heavy bleeding persists that negatively affects the woman's quality of life, despite adequate trials of pharmaceutical treatment. A routine referral should be made, according to local protocols.
- The woman wishes to consider surgery rather than persist with medical treatment. A routine referral should be made, according to local protocols.
- The woman has iron deficiency anaemia that has failed to respond to treatment, and other causes have been excluded. The timing of referral should reflect clinical judgement.
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