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Awareness and diagnosis of heavy menstrual bleeding remain low among physicians and women/girls, highlighting a significant gap in both knowledge and practice.
A recent study published in “Haemophilia” highlighted the critical issue of inadequate awareness and reduced diagnosis of heavy menstrual bleeding among both healthcare professionals (HCPs) and women/girls. Investigators aimed to improve the understanding and management of excessive menstrual bleeding and bleeding disorders, ultimately enhancing care for those affected. This was a three-part study involving over 7 countries.
Part 1 featured interviews with experts on diagnostic challenges. Part 2 involved surveys of 6099 women/girls, 353 general practitioners (GPs), and 426 obstetricians and gynecologists (OB/GYNs). Part 3 encompassed workshops with clinicians and patient representatives to discuss heavy menstrual bleeding knowledge and diagnostic criteria. Many HCPs, including 22% of GPs, lacked confidence in managing heavy menstrual bleeding.
Only 8% of GPs used screening tools, and a small percentage (13% of GPs and 15% of OB/GYNs) assessed for bleeding disorders. Despite 76% of women/girls believing they can recognize heavy menstrual flow symptoms, 23% wouldn’t seek medical help for abnormal/prolonged menstruation. Disruptions were reported by 34% of women/girls generally and 61% of those with at-risk symptoms. Both women/girls and HCPs exhibited limited awareness of excessive menstrual discharge indicators. It was concluded that standardized clinical criteria are warranted to boost the diagnosis and treatment of this condition.
Haemophilia
Driving improvement of diagnosis and awareness of heavy menstrual bleeding in women among physicians
Rezan Adbul Kadir et al.
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