Guidelines for the management of abnormal uterine bleeding

( Руководство по управлению анормальным маточным кровотечением) The Society of Obstetricians and Gynaecologists of Canada (SOGC)
clinical practice guidelines
No. 106, August 2001 - 6c.Abstract
Objective: It is estimated that nine to 30 percent of reproductive
age women suffer from menorrhagia. The prevalence
increases with age, peaking just prior to menopause.
Menorrhagia and uterine fibroids account for up to 75 percent
of all hysterectomies performed worldwide. This guideline
provides recommendations to gynaecologists and other
health care providers in the diagnosis and management of
abnormal uterine bleeding, incorporating the current evidence.
Options: Diagnostic tools and medical and surgical alternatives
to management are reviewed and current evidence is presented.
Evidence: Medline, Embase, and the Cochrane database were
reviewed as well as other society guidelines.
Recommendations:
1.Women with irregular menstrual bleeding should be investigated
for endometrial polyps and/or submucous fibroids. (II-2 B)