Heavy Menstrual Bleeding – A Half Day Update for GPs & AHPs

This half-day update is designed for experienced GPs & AHPs working in Primary Care who manage women presenting with heavy menstrual bleeding (HMB) across the reproductive life course.

Aims

The session focuses on refining clinical decision-making, optimising investigation and management pathways, and maintaining clinical safety in the assessment of HMB. The session will also include management of unscheduled bleeding on HRT. Emphasis is placed on differentiating benign from concerning presentations, appropriate use of investigations, and evidence-based first- and second-line management within General Practice.

Case-based discussion is used throughout to explore common diagnostic and management dilemmas, referral thresholds, and shared decision-making in complex or co-morbid patients.

Learning Outcomes

By the end of this session, participants will be able to:

• Critically evaluate presentations of heavy menstrual bleeding, including age-related and co-morbid risk factors
• Apply a structured, guideline-driven approach to history-taking, examination and investigation in women with HMB
• Confidently identify red flags and determine appropriate urgency and routes of referral to Gynaecology
• Confidence in assessment and management of unscheduled bleeding in patients using HRT.
• Optimise medical management of HMB in primary care, including tailoring treatment to patient preference, fertility wishes and co-morbidities
• Use NICE NG88 and related national guidance to support safe, evidence-based management and referral decisions
• Navigate challenging consultations using a patient-centred, shared decision-making approach, including discussions around treatment expectations, side effects and long-term planning

This event is not being recorded