This quality standard covers assessing and managing heavy menstrual bleeding (also called menorrhagia or heavy periods). It includes assessment, diagnosis, and drug and surgical treatment options, including treatments for uterine fibroids associated with heavy menstrual bleeding. It describes high-quality care in priority areas for improvement.

In March 2018, this quality standard was updated to reflect changes to the updated NICE guideline on heavy menstrual bleeding. Statement 3 was removed, statements 2 and 4 were amended, and statements 5 and 6 were updated and combined.

How to use NICE quality standards and how we develop them

Quality standards help you improve the quality of care you provide or commission. Find out how to use quality standards and how we develop them. We check our quality standards every August to make sure they are up to date.