Heavy menstrual bleeding (HMB)

Question 1

HMB definition

Answer 1

Greater than 80ml/s of blood loss per cycle. Focus should be on whether the blood loss affects QOL

Question 2

Components of menstrual history

Answer 2

Age of menarche, regularity and length of cycles, number of days bleeding, previous pregnancy

Question 3

Abnormal uterine bleeding (PALM COIEN)

Answer 3

(Structural)Polyp, Adenomyosis, Leiomyoma, Malignancy (Non structural) Coagulopathy, Ovulatory dysfunction, Endometrial disorders, Iatrogenic, Not otherwise classified

Question 4

Leiomyoma

Answer 4

Uterine fibroids