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Inicio Medicina Clínica (English Edition) Heavy menstrual bleeding and its detection in clinical practice
Journal Information
Vol. 157. Issue 7.
Pages 332-338 (October 2021)
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Vol. 157. Issue 7.
Pages 332-338 (October 2021)
DOI: 10.1016/j.medcle.2021.02.009
Heavy menstrual bleeding and its detection in clinical practice
Sangrado menstrual abundante y su detección en la práctica clínica
Josep Perellóa,
Corresponding author

Corresponding author.
, Joan Rius Tarruellab, Joaquim Calafa
a Hospital de Sant Pau, Universitat Autònoma, Barcelona, Spain
b Bayer Hispania, Barcelona, Spain
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Table 1. Comparative analysis of different validated questionnaires in the assessment of heavy menstrual bleeding (HMB), according to the parameters evaluated.

Heavy menstrual bleeding (HMB) is defined as excessive menstrual blood loss that interferes with quality of life. It is an under-diagnosed and under-treated disorder due to the poor correlation between patient perception and objective menstrual blood loss, as well as the scarcity of validated diagnostic tools. Anaemia caused by HMB is a common problem, underestimated on many occasions and with consequences that go beyond the scope of gynaecology. Despite the condition’s negative effect on quality of life, most of the tools validated to detect HBM do not take this into account. The aim of this paper is to review the main instruments available to detect HMB, their advantages and disadvantages, their applicability in routine clinical practice, and to recommend those with the best characteristics.

Heavy menstrual bleeding
Abnormal uterine bleeding
Quality of life

El sangrado menstrual abundante (SMA) se define como una pérdida excesiva de sangre menstrual que interfiere con la calidad de vida. Se trata de una alteración infradiagnosticada e infratratada debido a la escasa correlación entre la percepción de la paciente y la pérdida hemática menstrual objetiva, así como a la escasez de herramientas diagnósticas validadas. La anemia causada por el SMA es un problema frecuente, infravalorado en muchas ocasiones y con consecuencias que van más allá del ámbito de la ginecología. A pesar de su efecto negativo sobre la calidad de vida, la mayoría de las herramientas validadas para detectar el SMA no tienen en cuenta este concepto. El objetivo de este trabajo es revisar los principales instrumentos disponibles para detectar el SMA, sus ventajas e inconvenientes, su aplicabilidad en la práctica clínica habitual, y recomendar aquellos que reúnen las mejores características.

Palabras clave:
Sangrado menstrual abundante
Sangrado uterino anormal
Calidad de vida


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