Facts, Views & Vision
in ObGyn

Journal of the European Society for Gynaecological Endoscopy

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An overview of International AUB/HMB Guidelines *

Keywords:

Abnormal uterine bleeding, heavy menstrual bleeding, guidelines

https://doi.org/10.52054/FVVO.15.M.095

E. Saridogan1

1 Professor of Gynaecological Surgery, Elizabeth Garrett Anderson Institute for Women’s Health, University College London; Consultant in Reproductive Medicine and Minimal Access Surgery, Women’s Health Division, University College London Hospital, 250 Euston Road, London NW1 2PG, United Kingdom.

* This article was not peer reviewed by Facts, Views and Vision. The author was commissioned by Hologic.

Abstract

Abnormal uterine bleeding (AUB) is estimated to affect approximately 3-30% of women in their reproductive years. There are a number of guidelines from national societies and organisations on this subject. Many aspects of the available guidelines are in agreement with each other, probably due to the use of same published evidence. However, this article demonstrates that there are also major differences on certain subjects. These are likely to be a reflection of variations in clinical practice in different countries, as the differences are difficult explain with emergence of new evidence. Guidelines aim to improve patient care by informing clinical practice, to reduce unwarranted variability and to expedite implementation of effective intervention. The similarities between the guidelines give an opportunity to create international guidelines which may be more influential globally. Such a document would be more widely accepted by the clinicians and women alike, potentially reduce variability of access to the best treatments available and improve the lives of sufferers.