Obstetrics and Gynaecology  |  Menorrhagia Pathway - Consider Possible Causes

Obstetrics and Gynaecology

Menorrhagia Pathway - Consider Possible Causes




Endometrial hyperplasia

Uterine fibroids (accounts for approx. 30% of cases)

Uterine polyps (accounts for approx. 10% of cases)

Endometrial cancer

Polycystic Ovary Syndrome (PCOS)


Pelvic Inflammatory Disease (PID)

Complications of early pregnancy or miscarriage

Bleeding disorders
(eg von Willebrands disease)

Anticoagulation medication


Liver disease (rare)

Renal disease (rare)


Intra-uterine device (IUD) (note this is relatively common in the first 6 months after insertion). Removal should be avoided if possible during this time

Other hormonal contraceptives such as Jadelle or Depo provera

Last updated : Friday, August 21, 2015
Next review date : Saturday, August 20,2016

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