REMEDY : BNSSG referral pathways & Joint Formulary


Home > Adults > Gynaecology >

Menstrual Disorders

Checked: 23-07-2023 by Vicky Ryan Next Review: 23-07-2025

Primary / Secondary Amenorrhoea

Please refer to guidelines on CKS for the diagnosis and management of Primary and Secondary Amenorrhoea

Amenorrhoea | Health topics A to Z | CKS | NICE

Dr Rachel Brown, Gynaecology GPSI (Montpelier Health Centre) has also written some guidance for the management of Secondary Amenorrhoea (word doc) 

Heavy Menstrual Bleeding

For a guide to management of other forms of abnormal bleeding including heavy menstrual bleeding, post coital bleeding and intermenstrual bleeding then please see the Abnormal Vaginal Bleeding page.

If treatment in primary care is not effective and referral is being considered please be aware of the following funding policy that may apply:

Hysterectomy for Menorrhagia policy



Efforts are made to ensure the accuracy and agreement of these guidelines, including any content uploaded, referred to or linked to from the system. However, BNSSG ICB cannot guarantee this. This guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer, in accordance with the mental capacity act, and informed by the summary of product characteristics of any drugs they are considering. Practitioners are required to perform their duties in accordance with the law and their regulators and nothing in this guidance should be interpreted in a way that would be inconsistent with compliance with those duties.

Information provided through Remedy is continually updated so please be aware any printed copies may quickly become out of date.