Intended for healthcare professionals


Surgery rate for heavy menstrual bleeding varies widely across England and Wales, audit finds

BMJ 2014; 349 doi: (Published 30 July 2014) Cite this as: BMJ 2014;349:g4893
  1. Anna Sayburn
  1. 1London

An audit of NHS hospital care for women with heavy menstrual bleeding found wide variation in treatment, with the proportion of women having surgery ranging from 20% in some NHS trusts to 60% in others.1

The audit was carried out from 2010 to 2014 in NHS hospitals in England and Wales. It covered two main areas: an organisational audit of all NHS trusts in England and Wales, which looked at referral patterns, protocols for management of heavy menstrual bleeding, and what happened in practice; and an audit of patient reported outcomes, which surveyed 8000 women about their symptoms and quality of life at their first appointment.2 …

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