Excessive menstrual bleeding is a common presenting symptom and is the commonest cause of iron deficiency anaemia in women in Britain. Before medical treatment is given, it is important to exclude the many specific gynaecological, endocrine and haematological causes of menorrhagia.1 If any post-coital or intermenstrual bleeding has occurred, examination by a gynaecologist and histological study of the endometrium is necessary.
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