Updated NICE guideline on heavy menstrual bleeding could see 10,000 more women offered test to identify cause

In updated guidance, NICE has said that a hysteroscopy should be available as a first line diagnostic test for women with heavy menstrual bleeding. The update makes new recommendations for diagnosing and treating the condition, which is estimated to affect around a quarter of women of a reproductive age. The guideline recommends that women with symptoms and/or risk factors for gynaecological diseases or conditions, such as persistent bleeding between periods, should be offered hysteroscopy. Heavy menstrual bleeding can have a major impact on women’s quality of life Professor Mark Baker, director of the centre for guidelines at NICE, said: “Heavy