Girls with heavy intervals ought to be supplied a hysteroscopy to seek out out the trigger, says new steerage from well being officers.
This might result in 10,000 extra ladies in England having the check, which examines the within of the womb, annually, they stated.
Round one in 20 ladies aged 30-49 sees a GP attributable to heavy menstrual bleeding.
The difficulty can significantly have an effect on high quality of life, each bodily and emotionally.
The Nationwide Institute for Well being and Care Excellence (NICE) stated it had up to date its steerage due to advances in diagnostic methods.
It now recommends hysteroscopy as a first-line check for girls with heavy menstrual bleeding, as a substitute of pelvic ultrasound, as a result of it’s offers a extra correct prognosis.
Hysteroscopy makes use of a slender telescope with a lightweight and digital camera on the finish to look at the within of the womb, handed by means of the vagina.
Prof Mark Baker, director of the centre for pointers at NICE, stated: “This alteration ought to assist guarantee ladies with underlying endometrial illnesses or situations are extra successfully identified and might due to this fact obtain higher remedy.
“Not solely this, however the price of extra hysteroscopy will probably be offset by financial savings from fewer ultrasound investigations and fewer appointments following the diagnostic check.”
The steerage says miniature hysteroscopes ought to be used and painkillers offered to make sure the process is as pain-free as attainable.
Nonetheless, for a lot of ladies at low threat of underlying gynaecological issues, a hormonal contraceptive from their GP is also a superb first step, NICE stated.
Round 5,000 ladies at present have a hysteroscopy in England annually.
Jonathan Lord, marketing consultant in obstetrics and gynaecology at Royal Cornwall Hospitals NHS Belief and NICE committee member, stated ladies ought to be supplied a variety of choices.
“There may be additionally a shift in emphasis from doing easy however ineffective checks in lots of, to extra targeted however correct checks the place these are wanted.”
What causes heavy intervals?
The reason for heavy intervals cannot all the time be recognized however can embody:
- polycystic ovary syndrome (PCOS)
- pelvic inflammatory illness (PID)
- fibroids – non-cancerous growths that develop in or across the womb
- adenomyosis – when tissue from the womb lining turns into embedded within the wall of the womb
- an underactive thyroid gland (hypothyroidism)
- cervical or endometrial polyps
- blood-clotting problems
- most cancers of the womb (though that is comparatively uncommon)
Supply: NHS Selections