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Quantification of menstrual blood loss

Gillian Warrilow, Research Nurse and Caroline Kirkham, Research Midwife

Khaled MK Ismail, MRCOG, Senior Lecturer and Consultant

Academic Unit of Obstetrics and Gynaecology, Keele University Medical School, University Hospital of North Staffordshire, Stoke-on-Trent ST4 6QG, UK. email: k.m.k.ismail{at}keele.ac.uk (corresponding author)

Katrina Wyatt, Lecturer

Exeter and North Devon Research and Development Support Unit, University of Exeter.

Paul Dimmock, Lecturer and Shaughn O'Brien, FRCOG, Professor

Academic Unit of Obstetrics and Gynaecology, Keele University Medical School

Menorrhagia is one of the most significant causes of ill health in women. It accounts for a significant number of gynaecological outpatient referrals and once referred to a gynaecologist, more than half of these women will have had a hysterectomy within five years. Objective menorrhagia is taken to be a total measured menstrual blood loss in excess of 80 millilitres per cycle. The objective diagnosis of menorrhagia can pose a clinical challenge. This article reviews the different methods currently used for the objective estimation of menstrual blood loss.

Keywords Keywords / estimation of menstrual loss / menorrhagia / menstruation / menstrual pictogram / PBAC / pictorial charts