Clinical CPD topic
Heavy menstrual bleeding: practise, reflect and record
Practise heavy menstrual bleeding through five clinical cases, review the explanations and build a professional learning record. Select first-line LNG-IUS treatment and counsel about early bleeding changes and the treatment trial.
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What you’ll work on
- Select first-line LNG-IUS treatment and counsel about early bleeding changes and the treatment trial.
- Choose hysteroscopy for suspected endometrial pathology and interim medication during fibroid-treatment planning.
- Start iron replacement while assessing menstrual loss and investigating additional causes of iron-deficiency anaemia.
Think through a clinical case
Decide how you would approach this case before opening the question session.
A 32-year-old woman presents with regular heavy menstrual bleeding that is affecting her quality of life. Her haemoglobin is 110 g/L. She has no intermenstrual or postcoital bleeding, pelvic pain or pressure symptoms, and pelvic examination is normal. She would welcome effective contraception and has no contraindication to any of the listed treatments. Which is the single best initial treatment for her heavy menstrual bleeding?
A case from the UKMLA question bank. The session provides the answer and explanation after your attempt.
From a decision to a learning record
- Test your reasoning. Answer five questions from this topic’s clinical-content library.
- Explore the gaps. Review explanations and use Tutor to work through decisions that need more thought.
- Reflect on application. Describe what you learned and what you would change or investigate.
- Review your evidence. Confirm the activity and time spent, then retain or export your professional record.
Primary sources and further reading
Read the source in the same jurisdiction as your question session.