Diagnosis of heavy menstrual bleeding

Malou C. Herman*, Ben W. Mol, Marlies Y. Bongers

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

9 Citations (Scopus)


Heavy menstrual bleeding (HMB) is an important health problem. This paper gives an overview of the diagnosis of HMB. For each woman, a thorough history should be taken as one should ascertain whether there are underlying factors that could cause complaints of HMB. Objectively knowing whether or not the blood loss is excessive could also be very beneficial. The pictorial blood assessment chart score can help with diagnosis. Physical examination starts with standard gynecological examination. Imaging tests are widely used in the work-up for women with HMB. The first step in imaging tests should be the transvaginal ultrasound. Other diagnostic tests should only be performed when indicated.

Original languageEnglish
Pages (from-to)15-20
Number of pages6
JournalWomen's Health
Issue number1
Publication statusPublished - Jan 2016


  • abnormal uterine bleeding
  • adenomyosis
  • diagnosis
  • fibroid
  • heavy menstrual bleeding
  • hysteroscopy
  • intracavitary pathology
  • menorraghia
  • pictorial blood assessment score
  • polyp


Dive into the research topics of 'Diagnosis of heavy menstrual bleeding'. Together they form a unique fingerprint.

Cite this