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Patients with heavy menstrual bleeding are offered hysterectomy only after a documented discussion about other treatment options, or after other treatments have failed.
In most cases, hysterectomy should not be a first-line treatment for heavy menstrual bleeding. The clinician should initiate a discussion with the patient about the potential complications of the surgery and the effects that a hysterectomy may have on a patient’s sexual feelings, fertility, bladder function, ovarian function, need for future treatments, and psychological well-being.
If you are considering a hysterectomy, you should be offered the choice of other treatments, including medications and less invasive procedures.
If your patient is considering a hysterectomy, ensure you have a detailed discussion about the effects that a hysterectomy may have on their sexual feelings, fertility, bladder function, ovarian function, need for future treatments, and psychological well-being, as well as potential complications of the surgery.
Ensure systems, processes, and resources are in place such that all patients have access to all appropriate procedures and treatment options, not only hysterectomy.
Percentage of patients with heavy menstrual bleeding who had a hysterectomy and who had a documented discussion about other treatment options
Denominator: number of patients with heavy menstrual bleeding who had a hysterectomy
Numerator: number of patients in the denominator who had a documented discussion about other treatment options
Data sources: local data collection
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