Course Overview
This half-day course is designed for nurses and allied health professionals working in General Practice who are involved in assessing and managing menstrual concerns.
The session provides a focused, evidence-based overview of Heavy Menstrual Bleeding (HMB) in line with NICE NG88 guidance. Teaching supports clinicians in conducting structured menstrual histories, recognising red flags, initiating appropriate first-line management within Primary Care, and understanding when referral is required.
While heavy menstrual bleeding is the central focus, associated conditions that may present with abnormal bleeding — including ovulatory dysfunction and other endocrine causes — are discussed within the context of safe assessment and management.
The emphasis throughout is on clinical safety, proportionate investigation, and patient-centred counselling.
Who Should Attend
This course is suitable for:
- Practice Nurses
- Nurse Associates
- Advanced Clinical Practitioners
- Primary Care Pharmacists
- Allied Health Professionals supporting women’s health
It is particularly valuable for clinicians conducting menstrual reviews, contraception consultations, and chronic condition monitoring where menstrual symptoms arise.
What This Course Covers
Assessment of Heavy Menstrual Bleeding
- Definition and impact on quality of life
- Structured menstrual and gynaecological history-taking
- Identifying patterns of abnormal bleeding
- Application of NICE NG88 guidance
- When blood tests are appropriate
- When imaging is indicated
First-Line Management in Primary Care
- LNG-IUS as first-line treatment
- Non-hormonal options
- Hormonal management strategies
- Managing patient expectations
- Safety-netting and follow-up
Clinical Safety and Red Flags
- Recognising symptoms suggestive of underlying pathology
- Postcoital and intermenstrual bleeding
- Anaemia assessment
- Referral thresholds
- Documentation and governance considerations
Associated endocrine and ovulatory causes of abnormal bleeding are discussed where relevant to ensure safe, holistic assessment.
Learning Outcomes
By the end of this course, participants will be able to:
- Conduct a structured assessment of heavy menstrual bleeding
- Apply NICE NG88 guidance appropriately in Primary Care
- Initiate safe first-line management strategies
- Identify red flags requiring urgent referral
- Provide clear, patient-centred counselling
- Document appropriately within governance frameworks
Course Format
- Duration: Half-day (approximately 3–4 hours teaching time)
- Delivery: Virtual or face-to-face
Format includes:
- Structured teaching
- Case-based discussion
- Clinical scenario analysis
- Interactive Q&A
Certification
Certificate of attendance provided for CPD and revalidation purposes.