chapter  23
ByMark H Glasser
Pages 12

Menorrhagia has an enormous impact on women’s lives. Not only does it have an overall impact on health by causing anemia but also it creates anger, embarrassment, fear, lost work days, lost family time, decreased sexuality, and an overall loss of sense of well-being. In an analysis of the 1999 National Health Interview Survey (NHIS) done by the National Center for Health Statistics, it was estimated that women with heavy bleeding would work an average of 3.6 weeks less per year. The expected value of lost wages annually associated with heavy bleeding was estimated to be US$1692 per woman. 1 Approximately 2.5 million visits to gynecologists in the USA annually are for the treatment of menorrhagia and another 1 million women visit their family practitioner with the primary complaint of abnormal uterine bleeding.