Cover common menstrual disorders in women How to take a menstrual history is menorrhagia? Epidemiology Causes / Risk factors Symptoms (evaluate significance of presence/absence of pain) Investigations / Diagnosis i. Primary setting vs Hospital ii. Tests to detect cause of menorrhagia iii. Tests to determine the severity of menorrhagia Management (conservative, medical, surgical) i. Include treatment of anaemia ii. Look at side effects and precautions surrounding hormonal treatments systemic disorders may present with menorrhagia? are uterine fibroids? Epidemiology Causes / Risk factors Symptoms Investigations / Diagnosis Management (conservative, medical, surgical) are the red flags when evaluating vaginal bleeding?