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likely to have been booked with no prior attempt at outpatient hysteroscopy (114/261, 43.7% PMB vs 18/92, 19.6% ambulatory). (Chart 8). We have confirmed a true increase in the theatre workload for hysteroscopies.


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One of these guidelines is a national Guideline for the diagnosis and management of PMB. This plain language summary will describe the key points and important take home messages from the PMB Guideline. What is postmenopausal bleeding? Postmenopausal bleeding refers to bleeding in women that occurs 12 months or more after the last menstrual period.


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Less commonly, PMB can be a sign of cancer of the cervix, uterus or vagina. 1 in 10 women with PMB can have cancerous cells in the lining of their uterus. What should I do if I have PMB? You should arrange to see your GP urgently so that it can be quickly investigated. What type of tests will I have?


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Postmenopausal bleeding (PMB) What is PMB? Any vaginal bleeding after the menopause is called PMB. What causes PMB? There are lots of causes for PMB such as menopause-related thinning of the lining of the vagina, polyps (growths from the lining of the uterus or cervix) and use of hormone replacement therapy (HRT).


FAQ PMB & UMUM

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The BMS has developed a range of resources for healthcare professionals to summarise the NICE Guideline, provide guidance on HRT prescribing and other treatment options, and to clarify some of the most common myths and misconceptions of menopause. Information for women and their partners is available on the


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Paula Bidder, an advanced nurse hysteroscopist based at Neath Port Talbot Hospital, leads the post-menopausal bleed (PMB) service. This helps reduce the number of clinic appointments and visits for patients with potential endometrial cancer, which affects the womb.

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