Abstract
Menorrhagia is a common symptom. Modern management should be based on a one-stop approach to which transvaginal ultrasound is ideally suited as a primary diagnostic tool. Transvaginal ultrasound is the least invasive investigative tool for assessing the pelvis of women with menorrhagia. Focal pathology such as fibroids and polyps as well as extrauterine pathology can be accurately diagnosed. Hysteroscopy can thus be avoided in the majority of women and focal pathology selected for operative intervention. Outpatient endometrial biopsy should still be used to exclude endometrial pathology. This one-stop ultrasound-based approach clinic provides a rapid, accurate diagnosis, with the minimum of investigations and invasive procedures. In this way, multiple outpatient visits and unnecessary inpatient admissions can be avoided.
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