Topic overview

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A structured assessment of menorrhagia considers bleeding patterns, quality-of-life effects, pregnancy, anemia or iron deficiency, and potential underlying causes. The source outlines an initial work-up that may include blood tests, pelvic examination, and imaging, with further evaluation guided by age and risk factors. Management options include non-hormonal and hormonal medicines, iron replacement, and procedures or surgery when medical treatment has not worked or structural disease is significant. Choice of treatment depends on clinical context and patient priorities, including fertility goals. Follow-up can track symptoms and blood results, while features such as intermenstrual or post-coital bleeding, a pelvic mass, or suspected malignancy call for urgent referral.