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Menorrhagia (heavy menstrual bleeding) - Management
Basis for recommendation
These referral recommendations are based on Referral Advice: A guide to appropriate referral from general to specialist services [NICE, 2001], and Referral guidelines for suspected cancer: quick reference guide [NICE, 2005a], both published by the National Institute for Health and Clinical Excellence.
- Specialist services are in a position to:
- Confirm, establish, or exclude a diagnosis. Investigations in secondary care include endometrial biopsy, hysteroscopy, and/or pelvic ultrasound.
- Advise women on, and oversee where necessary, drug management.
- Discuss and undertake surgical operations, such as endometrial ablation and hysterectomy.
- For more information on treatments that may be undertaken in secondary care, see Management in secondary care.
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