Daily Mail

Women with heavy periods ‘should have scans’

- By Sophie Borland Health Editor by offering the scans more widely, patients will be diagnosed earlier and offered effective treatment. The watchdog estimates the new guidelines will result in about 15,000 women a year being referred for the hysterosco­py

THOUSANDS of women will be offered scans to establish why they suffer from heavy periods.

The health watchdog Nice wants GPs to refer many more patients for accurate hospital tests.

Up to a quarter of women of reproducti­ve age suffer heavy periods, which can have a profound impact on their quality of life.

Sometimes the bleeding is caused by an underlying health condition which may also result in fertility problems.

These include polycystic ovary syndrome (PCOS) and endometrio­sis which both affect a woman’s fertility. Nice hopes that first-line investigat­ive test as it provides a more accurate diagnosis.

‘This change should help ensure women with underlying endometria­l diseases or conditions are more effectivel­y diagnosed and can receive better treatment.’

Many women with common gynaecolog­ical conditions have complained that they were initially dismissed by GPs as being normal. One of the most widespread disorders is polycystic ovary syndrome, whereby the ovaries become enlarged and produce abnormal hormones.

This can lead to irregular and heavy periods and infertilit­y, because a woman doesn’t always release an egg. Endometrio­sis occurs when womb tissue grows in the ovaries and fallopian tubes.

GPs refer 5,000 a year for hysterosco­py tests but Nice wants to treble this number. The test uses a small tube with a telescope on the end which examines the womb.

It is normally carried out in outpatient­s under a local anaestheti­c.

Jonathan Lord, consultant in obstetrics and gynaecolog­y at Royal Cornwall Hospitals NHS Trust, said: ‘The updated guideline highlights that each woman should be offered a range of options.

‘There is also a shift in emphasis from doing simple but ineffectiv­e tests in many, to focused but accurate tests.’

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