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Heavy Menstrual Bleeding

Heavy Menstrual Bleeding

NICE Clinical Guidelines - National Collaborating Centre for Women's and Children's Health (UK)

Version: January 2007

Pharmaceutical treatments for HMB

Heavy menstrual bleeding can occur for a variety of reasons. Many women with HMB will experience ovulatory (generally regular) cycles. In these women, their excessive bleeding may not be attributable directly to a hormonal imbalance but to a disturbance of the physiological pathway, such as increased fibrinolytic activity in the endometrium, increased prostaglandin levels or the presence of fibroids.

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