ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2023
Women's experiences of heavy menstrual bleeding and medical treatment: a qualitative study in primary care.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 26 citations in OpenAlex.
- The Impact of Heavy Menstrual Bleeding on Quality of Life: A Mixed-Methods Survey Study.BJOG : an international journal of obstetrics and gynaecology · 2026Article
- Appraisal of international, patient-facing resources on heavy menstrual bleeding.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Article
- A narrative review on the role of IL-1β, IL-8, and the endometrial matrix in heavy menstrual bleeding pathogenesis.Annals of medicine and surgery (2012) · 2025Review
- Patient-centered management of heavy menstrual bleeding while on anticoagulation: A survey study.European journal of obstetrics, gynecology, and reproductive biology · 2025Article
- Navigating treatment options: a qualitative study exploring Australian women's decision-making experiences and satisfaction with treatment of heavy menstrual bleeding.BMC women's health · 2025Article
- How Women Discuss Heavy Menstrual Bleeding in Online Forums ("It's Like Revenge of the Uterus"): Template Approach to Thematic Analysis.Journal of medical Internet research · 2025Article
- Prevalence and risk factors of heavy menstrual bleeding in Africa: a narrative review.Annals of medicine and surgery (2012) · 2025Review
- Thyroid and reproductive hormonal factors associated with menorrhagia among women in Kenya.African journal of laboratory medicine · 2025Article
- Quantifying menorrhagia and overview of nonsurgical management of heavy menstrual bleeding.Hematology. American Society of Hematology. Education Program · 2024Review
- Experiences of menstrual health in the Nordic countries: a scoping review of qualitative research, applying an intersectional lens.Sexual and reproductive health matters · 2024Article
- Knowledge and attitudes on anemia and menstrual health among Malaysian female university students.Scientific reports · 2024Article
- Predictors of diagnostic delays and loss to follow-up in women with von Willebrand disease: a single-center retrospective cohort study.Research and practice in thrombosis and haemostasis · 2024Article
- Management of abnormal uterine bleeding on anticoagulation: the patient-clinician perspective.Journal of thrombosis and haemostasis : JTH · 2024Review
- Association between Patients' Self-Judgement, Coagulated Menstrual Blood, and Menorrhagia: Results from a Questionnaire Survey and Blood Test Analysis.Medicina (Kaunas, Lithuania) · 2023Article
- The "Research and practice in thrombosis and haemostasis · 2023Article
- Iron deficiency anemia in patients with heavy menstrual bleeding: The patients' perspective from diagnosis to treatment.Women's health (London, England)Article
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHeavy menstrual bleeding (HMB) is common and can affect women's lives. Evidence on women's experiences and their treatment of this problem after seeking primary care is lacking.
aimTo explore women's experiences of HMB and their medical treatment up to 10 years after initial management in general practice. DESIGN AND
settingThis was a qualitative study in UK primary care.
methodSemistructured interviews with a purposeful sample of 36 women who had participated in the ECLIPSE trial of medical treatments for HMB in primary care (levonorgestrel-releasing intrauterine system or other usual medical treatments - oral tranexamic acid, mefenamic acid, combined oestrogen-progestogen; or progesterone alone). Data were analysed thematically and a process of respondent validation was undertaken.
resultsWomen reported the wide-ranging and debilitating impact of HMB on their lives. They had often normalised their experience underlining persisting societal taboos about menstruation and reflecting low general awareness of HMB as treatable. Women commonly delayed seeking help for several years. They could then be frustrated by lack of a medical explanation for HMB. Women who had pathology identified felt able to make better sense of their HMB. Experiences of medical treatments varied considerably but were strongly influenced by the perceived quality of healthcare interactions with clinicians. Other influences on women's treatment included considerations for their fertility, health concerns, family and peers, and views when approaching menopause.
conclusionClinicians should be aware of the considerable challenges faced by women with HMB; widely differing experiences of, and influences on, their treatment; and the value of patient-centred communication in this context.
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