Summary
This quality standard includes 14 quality statements addressing areas that were identified by the Heavy Menstrual Bleeding Quality Standard Advisory Committee as having high potential for quality improvement in the way that care for heavy menstrual bleeding is currently provided in Ontario. It focuses on adults and adolescents of reproductive age presenting with either acute or chronic heavy menstrual bleeding in any care setting, regardless of the underlying cause of the bleeding. However, it does not cover the management of cancer or endometriosis once diagnosed. This quality standard does not apply to people who are pregnant or postmenopausal, or who have had a delivery, miscarriage, or abortion in the past 3 months.
In this quality standard, we consider heavy menstrual bleeding to mean excessive menstrual blood loss that interferes with people’s physical, social, emotional, or material quality of life. It can occur alone or in combination with other symptoms.
This quality standard was completed in October 2017 and updated in August 2024.