Adolescent gynaecology – heavy menstrual bleeding was an existing Victorian CPG that has been revised then reviewed by CPG Committee members. It will be considered for PIC endorsement on 8 October.

Key Points

1. The most common cause of Heavy Menstrual Bleeding (HMB) in adolescents is anovulatory cycles
2. Mild bleeding with a normal haemoglobin can be managed with reassurance, non-hormonal treatments and observation
3. Pregnancy related bleeding and bleeding disorders are important differentials to consider
4. Hormonal therapy aims to stabilise the endometrium