Heavy menstrual bleeding

Quality statements

Statement 1 People presenting with symptoms related to heavy menstrual bleeding have a focused history taken that includes the impact on their quality of life. [2013, updated 2020]

Statement 2 People with heavy menstrual bleeding and suspected submucosal fibroids, polyps or endometrial pathology are offered outpatient hysteroscopy. [new 2020]

Statement 3 People with heavy menstrual bleeding have a discussion with their healthcare professional about all their treatment options. [2013, updated 2020]

In 2020 this quality standard was updated, and statements prioritised in 2013 were updated [2013, updated 2020] or replaced [new 2020]. For more information, see update information.

Note that the terminology has changed since 2013. The 2020 statements use 'people' rather than 'women' to ensure that nobody with heavy menstrual bleeding is excluded from this quality standard.

The 2013 quality standard for heavy menstrual bleeding is available as a pdf.