• Trine S Karlsson, Lena B Marions, and Måns G Edlund.
• Department of Obstetrics and Gynecology, Karolinska University Hospital, Stockholm.
• Acta Obstet Gynecol Scand. 2014 Jan 1; 93 (1): 52-7.

ObjectiveTo investigate the prevalence of women subjectively experiencing heavy menstrual bleeding in the general population and their health-related quality of life (HRQoL) compared with women experiencing normal menstrual blood loss.DesignCommunity-based cross-sectional descriptive survey on a randomized sample of the Swedish general population.SettingsInvitation by e-mail to join an online questionnaire in Sweden, conducted in June 2012.Population1547 women, aged 40-45 years old.MethodsWeb-based questionnaire consisting of disease-specific questions, concerning the perceptions of menstrual bleeding, in combination with the generic Short Form-36v2 (SF-36) Health Survey Questionnaire to evaluate HRQoL.ResultsWe found that 32% of women experienced heavy menstrual bleeding, 39% normal menstrual blood loss, 15% light menstrual blood loss and 14% no menstruation. In general, menstrual bleeding was associated with negative perceptions and limited social and professional activities, although all areas were significantly more affected in women experiencing heavy menstrual bleeding than normal menstrual bleeding. The SF-36 showed that women experiencing heavy menstrual bleeding had significantly worse HRQoL compared with women with normal menstrual bleeding in all domains.ConclusionOf women 40-45 years old, 32% experience heavy menstrual bleeding. These women have significantly worse HRQoL compared with women with normal menstruation patterns.© 2013 Nordic Federation of Societies of Obstetrics and Gynecology.

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