Heavy Menstrual Bleeding Case Study

Mercy Hospital for Women sees an increase in Heavy Menstrual Bleeding with severe anaemia referrals. This case study underlines the preferred method of handling these cases.

Patient information:

  • 46yo Female patient
  • Pt passing clots and changing pads 6x daily during the first few days of the period
  • Presents to GP with Heavy Menstrual Bleeding, feeling unwell and being tired

GP orders the following tests: FBE and iron studies.

Results:

  • Hb 72
  • Ferritin 4

The patient was prescribed oral iron supplements and sent home.

Pt presents 3 months later feeling fatigued and unwell. She states she is fainting semi-regularly, short of breath on exertion and unable to work.

GP sends a referral to Mercy Hospital for Women for management of heavy menstrual bleeding.

Preferred Management:

  • Pelvic ultrasound to identify potential cause of heavy menstrual bleeding
  • Referral to Gynaecology for follow-up
  • Advice patient to present to the closest emergency department

For referring to the Mercy Hospital for Women Gynaecology Department, please use HealthLink eReferrals.

Last reviewed December 10, 2024.

Iron infusion GP Memo

About: Werribee Mercy Hospital provides intravenous iron infusions through the Medical Day Stay (MDS) unit. Referral guidelines: ADULTS >=18 years Low serum ferritin < 30 Serum ferritin <300 and Tsat <20% in patients with a chronic disease (e.g. chronic kidney disease, heart failure) Trialled oral iron supplementation for 3 months (or is intolerant of oral...
Iron infusion GP Memo

Statewide Referral Criteria

The Statewide Referral Criteria provide guidance to referring clinicians about which patients will be seen in adult public specialist clinics and what investigations are required to support triage. The Primary Care Liaison Unit is leading this important piece of work for Mercy Health as part of the Victorian Government Specialist Clinics Reform, so please contact us if you have any queries specific to Mercy Health specialist clinics.

Statewide Referral Criteria

HealthPathways

HealthPathways empowers clinicians with locally agreed information to make the best decisions, together with patients, at the point of care. Each pathway is evidence-informed, reflects local reality, and aims to preserve clinical autonomy and patient choice. HealthPathways serves to reduce unwarranted variation, and accelerate evidence into practice to ensure better and safer care. HealthPathways is...
HealthPathways