Heavy menstrual bleeding: a global survey of health care practitioners’ perceptions

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dc.creatorAna Luizalunardi Rocha
dc.creatorMárcia Cristina França Ferreira
dc.creatorRívia Mara Lamaita
dc.creatorEduardo Batista Cândido
dc.creatorMarcia Mendonca Carneiro
dc.creatorAgnaldo Lopes da Silva-filho
dc.date.accessioned2023-07-11T22:56:40Z
dc.date.accessioned2025-09-09T00:25:13Z
dc.date.available2023-07-11T22:56:40Z
dc.date.issued2018-06-25
dc.identifier.doi10.1080/13625187.2018.1483018
dc.identifier.issn13625187
dc.identifier.urihttps://hdl.handle.net/1843/56093
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofThe European Journal of Contraception & Reproductive Health Care
dc.rightsAcesso Restrito
dc.subjectConhecimento
dc.subjectMenorragia
dc.subject.otherHealthcare practitioners
dc.subject.otherHeavy menstrual bleeding
dc.subject.otherPALM-COEIN
dc.subject.otherKnowledge
dc.titleHeavy menstrual bleeding: a global survey of health care practitioners’ perceptions
dc.typeArtigo de periódico
local.citation.epage7
local.citation.spage1
local.citation.volume1
local.description.resumoObjectives: This study sought to assess the perceptions of health care practitioners (HCPs) regarding heavy menstrual bleeding (HMB). Methods: We developed an online survey for HCPs administered in 10 countries (Brazil, Canada, China, France, Germany, Korea, Russia, Spain, UK and USA), in order to assess their perceptions regarding HMB.Results: We received 1032 responses. Most HCPs considered more than 7 days of bleeding abnormal. There was a significant difference in the definition of HMB between countries (p < .001). Most HCPs measured menstrual blood loss by the number of sanitary pads or tampons needed, followed by the impact on patients' daily activities. The majority of HMB patients (61%) were diagnosed as having a non-structural disorder with no causative identifiable coagulopathy. Patient acceptance and compliance were each relevant for the treatment decisions of half of the HCPs. Treatment options for idiopathic HMB featured mainly oral contraceptives and the levonorgestrel-releasing intrauterine system. Surgery was mentioned as a treatment option for idiopathic HMB by 44% of HCPs.Conclusion: The definition of HMB and HCP perceptions of HMB regarding diagnostic and therapeutic issues varied between countries. Surgery was mentioned as a treatment for idiopathic HMB by nearly half of HCPs. Clinician education is greatly needed to improve the management of women with HMB.
local.publisher.countryBrasil
local.publisher.departmentMED - DEPARTAMENTO DE GINECOLOGIA OBSTETRÍCIA
local.publisher.initialsUFMG
local.url.externahttps://www.tandfonline.com/doi/abs/10.1080/13625187.2018.1483018

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