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Evidence to Improve Care

Heavy Menstrual Bleeding

Care for Adults and Adolescents of Reproductive Age


2

Shared Decision-Making

Patients with heavy menstrual bleeding are provided with information on all potential treatment options and are supported in making an informed decision on the most appropriate treatments for them, based on their values, preferences, and goals, including their desire for future fertility.


Shared decision-making involves a partnership between the clinician and the patient. The health care professional brings clinical expertise to the discussion while the patient brings knowledge about the impact the heavy menstrual bleeding is having on their life and about their goals for treatment. To facilitate informed shared decision-making about treatment, clinicians should provide patients with accurate information about the range of normal menstrual bleeding and all potential treatment options for the patient’s specific case. Patients should receive information on the treatment objectives, side effects, risks, impact on fertility, and anticipated out-of-pocket costs of all potential treatment options.

For Patients

You should decide what treatment you prefer after discussing all the options with your health care professional. You should be told about any side effects, risks, effects on your ability to get pregnant, and out-of-pocket costs.


For Clinicians

Provide patients with information on all potential treatment options and help them make a decision consistent with their values and preferences.


For Health Services

Ensure systems, processes, policies, and resources are in place such that patients have access to their treatment of choice.

Process Indicators

Percentage of patients with heavy menstrual bleeding who reported that they received information from their health care professional about treatment options, including information on treatment objectives, side effects, risks, impact on fertility, and potential out-of-pocket costs of each option

  • Denominator: number of patients with heavy menstrual bleeding

  • Numerator: number of patients with heavy menstrual bleeding who reported that they received information from their health care professional about their treatment options, including information on:

    • Treatment objectives

    • Side effects

    • Risks

    • Impact on fertility

    • Potential out-of-pocket costs

  • Data source: local data collection

Note: The indicator can be calculated as an overall percentage and by each listed component.


Percentage of patients with heavy menstrual bleeding who reported that they received their preferred treatment option

  • Denominator: number of patients with heavy menstrual bleeding

  • Numerator: number of patients with heavy menstrual bleeding who reported that they received their preferred treatment option

  • Data source: local data collection

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