Talk:Heavy menstrual bleeding

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Untitled

Although quite comprehensive, this page could do with a WP:CITE, especially the statistic that use of IUS has halved the incidence of hysterectomy. JFW | T@lk 17:18, 20 December 2005 (UTC)

It is perfectly possible to directly measure menstrual flow. It is incorrect to say that in practice it is never done. It has been done and it seems likely that it will be done in the future.

—Preceding unsigned comment added by 63.249.103.171 (talk • contribs) 09:47, 12 August 2006

"although in practice this is never directly measured by patients or doctors" - does not claim can not be done, it is just that this tends to be a research tool. It is never in my experience used in routine clinical setting of any gynaecology outpaients that I have ever encountered in UK. David Ruben ^Talk 00:53, 14 August 2006 (UTC)

There is a lot of "you" language in this article that should be replaced with "women"/"woman"/"female", etc. It feels pretty silly as a male reading about "your ovaries"... --AnalogWeapon (talk) 20:25, 30 July 2008 (UTC)

ICD-10 codes

Here is ICD-10 codes...

I was not able to insert into the table...

• N84.0 Polyp of corpus uteri
• N85.0 Endometrial glandular hyperplasia
• N85.8 Other specified noninflammatory disorders of uterus
• N92 Excessive, frequent and irregular menstruation
• N92.2 Excessive menstruation at puberty
• N92.1 Excessive and frequent menstruation with irregular cycle
• N92.4 Excessive bleeding in the premenopausal period
• -
• -
• N95.0 Postmenopausal bleeding

--Nevit (talk) 19:21, 21 June 2011 (UTC)

Peer Review

a couple comments and recommendations, by section

Lead - generally improved with simplified language and definition more consistent with recent frameworks for abnormal uterine bleeding put out by ACOG. - style note: "Initial evaluation will be aimed at" is less wordy if rewritten "Initial evaluation aims at..."

Signs and Symptoms - style note: the last sentence is unnecessarily wordy and you may consider simplification with something like "Bleeding in between menses is also abnormal uterine bleeding and thus requires further evaluation." - organization: have you considered making "complications" a subheading of signs and symptoms? Currently, the first mention of anemia is in the treatment section when use of iron supplementation is mentioned. Then anemia secondary to bloodloss comes at the end of the article. Since this is the only complication, and the weakness/fatigue of anemia may sometimes be the presenting symptom of AUB, it may make sense to bring it up earlier in the article.

Causes & Diagnosis - overall it is appropriate that these sections have been pared down to the most relevant information. However, in the lead you went through the trouble to point out that evaluation includes evaluation of pregnancy and menstrual status. Might be a good idea to readdress that in one of these sections (in the previous version of the article, this was covered in the sections that have since been removed in the discussion of unopposed estrogen in perimenopausal period and the normal development of endometrium during pregnancy that may be lost during miscarriage). Mostly to address why pregnancy and menopause are part of the initial workup - grammar note: "there are known causes of abnormal uterine bleeding... that needs to be ruled out." Should be "that need to be ruled out."

Treatment - since the surgical interventions that are appropriate for certain conditions are discussed in the beginning of this section, it is unclear what additional information is contributed by the subheading of surgeries (especially since this section lacks a citation). Is it possible that it could be removed since discussion about ablation, hysterectomy, etc are touched on earlier in the section?

Overall fantastic changes made so far! — Preceding unsigned comment added by Johnpaul.farala (talk • contribs) 00:58, 16 November 2015 (UTC)

Not liking link to "AUB"

Don't like the AUB bit, because that's also Dysfunctional uterine bleeding... 182.255.99.214 (talk) 05:55, 30 January 2016 (UTC)

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Bias: Sexism/Misogyny

Literally, the Latin root of misogyny invokes biologically female reproductive organs. While article is about abnormally uterine bleeding, the text reproduces the latent bias and legacy of mysogyny. Simply put, if this was a clinical / medicine portal page, the text is slightly biased but reasonable. However, the title “heavy menstrual bleeding”, reaches a general audience. It’s critical to note that menstruation is a normal (healthy) biological function, especially since this article lists radical treatments including surgeries. Felis Bieti (talk) 02:45, 27 December 2020 (UTC)

I agree. The article could be more inclusive if words like women/woman can be changed to menstruating person or person/people when appropriate. For instance, "women with heavy menstrual bleeding" can just be people with heavy menstrual bleeding. Meredithbayona1 (talk) 16:59, 16 September 2022 (UTC)

Wiki Education assignment: UCSF SOM Inquiry In Action-- Wikipedia Editing 2022

This article was the subject of a Wiki Education Foundation-supported course assignment, between 8 August 2022 and 20 September 2022. Further details are available on the course page. Student editor(s): Cameronn19, Brandongo60, Zurcnhoj (article contribs). Peer reviewers: Leonardo8910, Hschmidt2, Meredithbayona1.

— Assignment last updated by Pixie9881 (talk) 17:39, 16 September 2022 (UTC)

Peer Review

The introduction is very clear and provides a good summary of the information to follow. The article overall has a comprehensive review of diagnosis and treatment for HMB. I think it could benefit from more clarity regarding which treatments align with which cause, since there are many causes of HMB. For example, the invasive treatments like surgery are usually only for certain pathologic causes and you would not do hysterectomy for PCOS.

The first half of the "Considerations" section is well fleshed-out, but the 5 last bullet points could use some explanation around why/how those cause HMB.

Finally, this article could hugely benefit from use of gender neutral language to include all people who menstruate. Hschmidt2 (talk) 17:54, 16 September 2022 (UTC)

Adding graphics from NHS Decision Aid

I've worked on the recent NHS Decision Aid for heavy menstrual bleeding (https://www.england.nhs.uk/publication/decision-support-tool-making-a-decision-about-managing-heavy-periods/) which includes some hopefully useful graphics illustrating prevalence figures as well as efficacy and side effects statistics for different treatment options. I plan to add these to the page as I've done recently for benign enlarged prostate, unless anyone has any objections. I'll add the references alongside. Draljf (talk) 14:48, 16 September 2024 (UTC)

Just to say that the editor crashes ALL the time and I keep losing vast amounts of work on the references so will come back to finish adding information when I have more patience and perhaps it is more stable. Apologies that it's not yet all in there and some of the references need tidying. Draljf (talk) 20:09, 16 September 2024 (UTC)

Right, I've got everything in now. The references aren't as neat as I'd like but it was those causing the crashes... Hope these are helpful. Draljf (talk) 19:53, 17 September 2024 (UTC)