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Review
. 2016 Jan;12(1):21-6.
doi: 10.2217/whe.15.85. Epub 2015 Dec 23.

Outcome measures for heavy menstrual bleeding

Stephen D Quinn  1 , Jenny Higham  1
Affiliations
Review

Outcome measures for heavy menstrual bleeding

Stephen D Quinn et al. Womens Health (Lond). 2016 Jan.

Abstract

Heavy menstrual bleeding is one of the most commonly encountered gynecological problems. While accurate objective quantification of menstrual blood loss is of value in the research setting, it is the subjective assessment of blood loss that is of greater importance when assessing the severity of heavy menstrual bleeding and any subsequent response to treatment. In this review the various approaches to objective, subjective and semi-subjective assessment of menstrual blood loss will be discussed.

Keywords: abnormal uterine bleeding; heavy menstrual bleeding; menorrhagia; menstrual blood loss.

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Figures

Figure 1.
Figure 1.
Pictorial blood assessment chart.
Figure 2.
Figure 2.
The menstrual pictogram.
See this image and copyright information in PMC

References

    1. Hallberg L, Högdahl AM, Nilsson L, Rybo G. Menstrual blood loss – a population study. Variation at different ages and attempts to define normality. Acta Obstet. Gynecol. Scand. 45(3), 320–351 (1966). - PubMed
    1. Janssen CA, Scholten PC, Heintz AP. A simple visual assessment technique to discriminate between menorrhagia and normal menstrual blood loss. Obstet. Gynecol. 85(6), 977–982 (1995). - PubMed
    1. Munro MG, Critchley HO, Fraser IS. The flexible FIGO classification concept for underlying causes of abnormal uterine bleeding. Semin. Reprod. Med. 29(5), 391–399 (2011). - PubMed
    1. NICE. Heavy Menstrual bleeding (2007). www.nice.org.uk/guidance/cg44
    1. Chimbira TH, Anderson AB, Turnbull A. Relation between measured menstrual blood loss and patient's subjective assessment of loss, duration of bleeding, number of sanitary towels used, uterine weight and endometrial surface area. Br. J. Obstet. Gynaecol. 87(7), 603–609 (1980). - PubMed