Heavy menstrual bleeding? Or could it be a bleeding disorder?

Most women with heavy menstrual bleeding (HMB) can be managed according to NICE guidance. But GPs and practice nurses need to be aware that up to one in five women with menorrhagia, especially young women, could also have a bleeding disorder. It is important to identify these patients since, if left untreated, bleeding disorders reduce quality of life and may result in significant, long-term complications.