Society guideline links: Abnormal uterine bleeding

Introduction — 

This topic includes links to society and government-sponsored guidelines from selected countries and regions around the world. We will update these links periodically; newer versions of some guidelines may be available on each society's website. Some societies may require users to log in to access their guidelines.

The recommendations in the following guidelines may vary from those that appear in UpToDate topic reviews. Readers who are looking for UpToDate topic reviews should use the UpToDate search box to find the relevant content.

Links to related guidelines are provided separately. (See "Society guideline links: Uterine fibroids (leiomyomas)" and "Society guideline links: Hysteroscopy" and "Society guideline links: Polycystic ovary syndrome".)

International

●International Federation of Gynecology and Obstetrics (FIGO): The ovulatory disorders classification system (2022)

●Endocrine Society (ES): Clinical practice guideline on functional hypothalamic amenorrhea (2017)

●FIGO: The two systems for normal and abnormal uterine bleeding symptoms and classification of causes of abnormal uterine bleeding in the reproductive years, revised (2018)

Canada

●Choosing Wisely Canada: Don't do any surgical intervention, including ablation, for abnormal uterine bleeding until medical management (including the progesterone intra-uterine system) has been offered and either declined or found unsuccessful (updated 2021)

●Society of Obstetricians and Gynaecologists of Canada (SOGC): Clinical practice guideline on abnormal uterine bleeding in pre-menopausal women (2013, reaffirmed 2018)

●SOGC: Clinical practice guideline on endometrial ablation in the management of abnormal uterine bleeding (2015)

United States

●American College of Obstetricians and Gynecologists (ACOG): Committee opinion on options for prevention and management of menstrual bleeding in adolescent patients undergoing cancer treatment (2021, reaffirmed 2024)

●ACOG: Committee opinion on the management of acute abnormal uterine bleeding in nonpregnant reproductive-aged women (2013, reaffirmed 2024)

●ACOG: Committee opinion on screening and management of bleeding disorders in adolescents with heavy menstrual bleeding (2019, reaffirmed 2023)

●ACOG: Committee opinion on the role of transvaginal ultrasonography in evaluating the endometrium of women with postmenopausal bleeding (2018, reaffirmed 2023)

●ACOG: Committee opinion on menstruation in girls and adolescents – Using the menstrual cycle as a vital sign (2015, reaffirmed 2021)

●ACOG: Committee opinion on von Willebrand disease in women (2013, reaffirmed 2021)

●American College of Radiology (ACR): ACR Appropriateness Criteria on abnormal uterine bleeding (revised 2020)

●ACOG: Practice bulletin for the management of abnormal uterine bleeding associated with ovulatory dysfunction (2013)

●ACOG: Practice bulletin for the diagnosis of abnormal uterine bleeding in reproductive-aged women (2012)

●Society of Gynecologic Surgeons (SGS): Clinical practice guideline for abnormal uterine bleeding – Hysterectomy versus alternative therapy (2012)

United Kingdom

●National Institute for Health and Care Excellence (NICE): Guideline on heavy menstrual bleeding – Assessment and management (2018, updated 2021)

●NICE: Quality standard on heavy menstrual bleeding (2013, updated 2020)

●Faculty of Sexual and Reproductive Healthcare (FSRH): Clinical guidance on problematic bleeding with hormonal contraception (2015)

Australia–New Zealand

●Cancer Council Australia (CCA): Cervical cancer screening – Guidelines for the management of screen-detected abnormalities, screening in specific populations and investigation of abnormal vaginal bleeding (updated 2022)

●Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG): Best practice statement for the investigation of intermenstrual and postcoital bleeding (2021)

●Royal Children's Hospital (RCH): Clinical practice guidelines on adolescent gynaecology – Heavy menstrual bleeding (updated 2020)

●Australian Commission on Safety and Quality in Health Care (ACSQHC): Heavy menstrual bleeding clinical care standard (2017)

Japan

●[In English] Japan Society of Obstetrics and Gynecology (JSOG) and Japan Association of Obstetricians and Gynecologists (JAOG): Guideline for gynecological practice in Japan, 2023 edition (published 2024)

●[In Japanese] JSOG and JAOG: Obstetrics and gynecology clinical practice guidelines – Gynecology outpatient edition (2023)