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Menorrhagia (Heavy Menstrual Bleeding)

Investigation and management of HMB.

Reviewed by Dr Kola Tytler MBBS CertHE MBA MSt MRCGP (General Practitioner)
Last reviewed: 21 October 2025
Women's Health
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regional clinical guidance

Menorrhagia (Heavy Menstrual Bleeding): guidance by region

Recommendations, thresholds and pathways can differ. Open the page written for the jurisdiction you need.

United StatesHeavy menstrual bleeding and abnormal uterine bleedingWomen's health · reviewed 2026-08-20CanadaHeavy menstrual bleeding (HMB) — assessment + first-line treatmentWomen's health · reviewed 2026-08-20AustraliaHeavy menstrual bleeding (HMB) — assessment + first-line treatmentWomen's health · reviewed 2026-08-20

Clinical Guidelines

CKS: Menorrhagia (heavy menstrual bleeding)
National
NICE guideline [NG88]
National
NICE guideline [NG88]: Heavy Menstrual Bleeding: assessment and management
National
Guideline No. 453: Endometrial Ablation in the Management of Abnormal Uterine Bleeding
Local
NICE Clinical Knowledge Summary: Menorrhagia (heavy menstrual bleeding)
Local