Fraser Ian S, Mansour Diana, Breymann Christian, Hoffman Camille, Mezzacasa Anna, Petraglia Felice
Department of Obstetrics, Gynaecology and Neonatology, Sydney Medical School, University of Sydney, Sydney, NSW, Australia.
Sexual Health Services, Newcastle Hospitals, Community Health, Newcastle, UK.
Int J Gynaecol Obstet. 2015 Mar;128(3):196-200. doi: 10.1016/j.ijgo.2014.09.027. Epub 2014 Dec 1.
To examine the prevalence and impact of heavy menstrual bleeding (HMB) among women in Europe, and their experience of HMB assessment and management.
An internet-based survey was conducted among women (aged 18-57 years) in five European countries between January and February 2012. The prevalence of HMB among the general population was determined in a short survey, and women who had been diagnosed with HMB were then asked to complete an extended survey about their diagnosis and symptoms.
Overall, 4506 women responded, of whom 1225 (27.2%) had experienced two or more predefined HMB symptoms within the previous year. Of these women, 564 (46.0%) had never consulted a physician. Among 330 women who completed the detailed survey, 208 (63.0%) had ever been diagnosed with iron deficiency or iron-deficiency anemia. Symptoms associated with iron deficiency were used to help confirm a diagnosis in 83 (39.9%) women. Only 152 (46.1%) of the 330 patients with confirmed HMB had received prescription medication for iron deficiency.
Many women affected by HMB do not seek medical help, and few of those who do consult physicians report that they have received appropriate treatment. HMB continues to be underdiagnosed and poorly treated.
调查欧洲女性中月经过多（HMB）的患病率及其影响，以及她们对HMB评估和管理的体验。
2012年1月至2月间，在五个欧洲国家对18至57岁的女性进行了一项基于互联网的调查。通过一项简短调查确定了普通人群中HMB的患病率，然后要求被诊断为HMB的女性完成一项关于其诊断和症状的扩展调查。
总体而言，4506名女性做出了回应，其中1225名（27.2%）在过去一年中经历过两种或更多种预先定义的HMB症状。在这些女性中，564名（46.0%）从未咨询过医生。在完成详细调查的330名女性中，208名（63.0%）曾被诊断为缺铁或缺铁性贫血。83名（39.9%）女性使用与缺铁相关的症状来辅助确诊。在330名确诊为HMB的患者中，只有152名（46.1%）接受了缺铁性贫血的处方药治疗。
许多受HMB影响的女性没有寻求医疗帮助，而那些咨询医生的女性中，很少有人报告接受了适当的治疗。HMB仍然诊断不足且治疗不佳。
