ABSTRACT

Menorrhagia or excessive menstrual bleeding is a common problem in both gynaecological and general practice. One in five women undergo hysterectomy by the age of 60 years, the majority have menorrhagia with no detectable pelvic pathology. This, along with the high cost associated with medical management, means that menorrhagia places a huge financial burden on the health service. Diagnosis and treatment within an outpatient hysteroscopy clinic setting has great potential in optimizing management of this common complaint and reducing the need for major surgery.