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\u0a1a\u0a3e\u0a39\u0a40\u0a26\u0a40 \u0a39\u0a48 \u0a15\u0a3f\u0a09\u0a02\u0a15\u0a3f \u0a07\u0a39 HMB \u0a32\u0a08 \u0a2a\u0a39\u0a3f\u0a32\u0a40 \u0a32\u0a3e\u0a08\u0a28 \u0a26\u0a3e \u0a07\u0a32\u0a3e\u0a1c \u0a39\u0a48\u0964 \u0a1c\u0a47\u0a15\u0a30 \u0a07\u0a39 \u0a05\u0a38\u0a35\u0a40\u0a15\u0a3e\u0a30 \u0a15\u0a40\u0a24\u0a3e \u0a17\u0a3f\u0a06 \u0a39\u0a48 \u0a1c\u0a3e\u0a02 \u0a28\u0a3f\u0a30\u0a4b\u0a27\u0a15 \u0a39\u0a48 \u0a24\u0a3e\u0a02 \u0a07\u0a38 \u0a28\u0a42\u0a70 \u0a38\u0a2a\u0a38\u0a3c\u0a1f \u0a24\u0a4c\u0a30 &#039;\u0a24\u0a47 \u0a26\u0a38\u0a24\u0a3e\u0a35\u0a47\u0a1c\u0a3c\u0a40 \u0a24\u0a4c\u0a30 &#039;\u0a24\u0a47 \u0a26\u0a30\u0a1c \u0a15\u0a40\u0a24\u0a3e \u0a1c\u0a3e\u0a23\u0a3e \u0a1a\u0a3e\u0a39\u0a40\u0a26\u0a3e \u0a39\u0a48\u0964 \u0a07\u0a39 \u0a38\u0a3f\u0a2b\u0a3c\u0a3e\u0a30\u0a38\u0a3c \u0a15\u0a40\u0a24\u0a40 \u0a1c\u0a3e\u0a02\u0a26\u0a40 \u0a39\u0a48 \u0a15\u0a3f NICE \u0a26\u0a3f\u0a38\u0a3c\u0a3e-\u0a28\u0a3f\u0a30\u0a26\u0a47\u0a38\u0a3c \u0a26\u0a47 \u0a05\u0a28\u0a41\u0a38\u0a3e\u0a30 \u0a2a\u0a4d\u0a30\u0a2d\u0a3e\u0a35 \u0a26\u0a3e \u0a2e\u0a41\u0a32\u0a3e\u0a02\u0a15\u0a23 \u0a15\u0a30\u0a28 \u0a32\u0a08 IUS \u0a28\u0a42\u0a70 6 \u0a2e\u0a39\u0a40\u0a28\u0a3f\u0a06\u0a02 \u0a32\u0a08 \u0a30\u0a71\u0a16\u0a3f\u0a06 \u0a1c\u0a3e\u0a35\u0a47\u0964<br><br> - \u0a05\u0a38\u0a40\u0a02 HMB \u0a26\u0a47 \u0a2e\u0a41\u0a32\u0a3e\u0a02\u0a15\u0a23 \u0a05\u0a24\u0a47 \u0a07\u0a32\u0a3e\u0a1c \u0a26\u0a47 \u0a35\u0a3f\u0a15\u0a32\u0a2a\u0a3e\u0a02 \u0a26\u0a47 \u0a2e\u0a41\u0a32\u0a3e\u0a02\u0a15\u0a23 \u0a35\u0a3f\u0a71\u0a1a \u0a07\u0a71\u0a15 \u0a2e\u0a3e\u0a39\u0a35\u0a3e\u0a30\u0a40 \u0a21\u0a3e\u0a07\u0a30\u0a40 \u0a1f\u0a48\u0a02\u0a2a\u0a32\u0a47\u0a1f \u0a26\u0a40 \u0a35\u0a30\u0a24\u0a4b\u0a02 \u0a26\u0a40 \u0a38\u0a3f\u0a2b\u0a3e\u0a30\u0a38\u0a3c \u0a15\u0a30\u0a3e\u0a02\u0a17\u0a47\u0964<br><br> - \u0a07\u0a38 \u0a24\u0a4b\u0a02 \u0a2c\u0a3e\u0a05\u0a26 \u0a32\u0a71\u0a1b\u0a23\u0a3e\u0a02 \u0a24\u0a4b\u0a02 \u0a30\u0a3e\u0a39\u0a24 \u0a2a\u0a3e\u0a09\u0a23 \u0a35\u0a3f\u0a71\u0a1a \u0a05\u0a38\u0a2b\u0a32\u0a24\u0a3e \u0a30\u0a39\u0a40 \u0a39\u0a48 (\u0a1c\u0a26\u0a4b\u0a02 \u0a24\u0a71\u0a15 \u0a21\u0a3e\u0a15\u0a1f\u0a30\u0a40 \u0a24\u0a4c\u0a30 &#039;\u0a24\u0a47 \u0a05\u0a23\u0a09\u0a1a\u0a3f\u0a24 \u0a1c\u0a3e\u0a02 \u0a28\u0a3f\u0a30\u0a4b\u0a27\u0a15 \u0a28\u0a3e \u0a39\u0a4b\u0a35\u0a47)<br>\u00a0<br>\u0a05\u0a24\u0a47<br>\u00a0<br>\u0a28\u0a3f\u0a2e\u0a28\u0a32\u0a3f\u0a16\u0a24 \u0a07\u0a32\u0a3e\u0a1c \u0a1c\u0a3e\u0a02 \u0a24\u0a3e\u0a02 \u0a05\u0a38\u0a2b\u0a32 \u0a39\u0a4b \u0a17\u0a0f \u0a39\u0a28, \u0a09\u0a1a\u0a3f\u0a24 \u0a28\u0a39\u0a40\u0a02 \u0a39\u0a28 \u0a1c\u0a3e\u0a02 \u0a28\u0a48\u0a38\u0a3c\u0a28\u0a32 \u0a07\u0a70\u0a38\u0a1f\u0a40\u0a1a\u0a3f\u0a0a\u0a1f \u0a2b\u0a3e\u0a30 \u0a39\u0a48\u0a32\u0a25 \u0a10\u0a02\u0a21 \u0a15\u0a32\u0a40\u0a28\u0a3f\u0a15\u0a32 \u0a10\u0a15\u0a38\u0a40\u0a32\u0a48\u0a02\u0a38 (NICE) \u0a26\u0a47 \u0a26\u0a3f\u0a38\u0a3c\u0a3e-\u0a28\u0a3f\u0a30\u0a26\u0a47\u0a38\u0a3c NG88 \u0a39\u0a48\u0a35\u0a40 \u0a2e\u0a3e\u0a39\u0a35\u0a3e\u0a30\u0a40 \u0a16\u0a42\u0a28 \u0a35\u0a39\u0a3f\u0a23 \u0a26\u0a47 \u0a05\u0a28\u0a41\u0a38\u0a3e\u0a30 \u0a28\u0a3f\u0a30\u0a4b\u0a27\u0a15 \u0a39\u0a28:<br><br>\u2022 \u0a1f\u0a30\u0a47\u0a28\u0a48\u0a15\u0a38\u0a3e\u0a2e\u0a3f\u0a15 \u0a10\u0a38\u0a3f\u0a21 \u0a05\u0a24\u0a47\/\u0a1c\u0a3e\u0a02 \u0a17\u0a48\u0a30-\u0a38\u0a1f\u0a40\u0a30\u0a4c\u0a07\u0a21\u0a32 \u0a10\u0a02\u0a1f\u0a40-\u0a07\u0a28\u0a2b\u0a32\u0a47\u0a2e\u0a47\u0a1f\u0a30\u0a40 \u0a21\u0a30\u0a71\u0a17\u0a1c\u0a3c (NSAIDs), \u0a1c\u0a3f\u0a35\u0a47\u0a02 \u0a15\u0a3f \u0a28\u0a48\u0a2a\u0a4d\u0a30\u0a4b\u0a15\u0a38\u0a28<br><br>\u2022 \u0a13\u0a30\u0a32 \u0a39\u0a3e\u0a30\u0a2e\u0a4b\u0a28\u0a32 \u0a35\u0a3f\u0a27\u0a40\u0a06\u0a02, \u0a1c\u0a3f\u0a35\u0a47\u0a02 \u0a15\u0a3f \u0a38\u0a70\u0a2f\u0a41\u0a15\u0a24 \u0a2e\u0a4c\u0a16\u0a3f\u0a15 \u0a17\u0a30\u0a2d \u0a28\u0a3f\u0a30\u0a4b\u0a27\u0a15, \u0a1a\u0a71\u0a15\u0a30\u0a35\u0a3e\u0a24\u0a40 \u0a13\u0a30\u0a32 \u0a2a\u0a4d\u0a30\u0a4b\u0a1c\u0a47\u0a38\u0a1f\u0a4d\u0a30\u0a4b\u0a28<br>\u00a0<br>\u0a05\u0a24\u0a47<br>\u00a0<br>\u0a1c\u0a40\u0a35\u0a28 \u0a26\u0a40 \u0a17\u0a41\u0a23\u0a35\u0a71\u0a24\u0a3e &#039;\u0a24\u0a47 \u0a17\u0a70\u0a2d\u0a40\u0a30 \u0a2a\u0a4d\u0a30\u0a2d\u0a3e\u0a35 \u0a26\u0a47 \u0a38\u0a2c\u0a42\u0a24 \u0a39\u0a28<br>\u00a0<br>\u0a1c\u0a3e\u0a02<br>\u00a0<br>\u0a1c\u0a47 \u0a07\u0a32\u0a3e\u0a1c \u0a05\u0a38\u0a2b\u0a32 \u0a39\u0a41\u0a70\u0a26\u0a3e \u0a39\u0a48, \u0a14\u0a30\u0a24 \u0a2b\u0a3e\u0a30\u0a2e\u0a3e\u0a15\u0a4b\u0a32\u0a4b\u0a1c\u0a40\u0a15\u0a32 \u0a07\u0a32\u0a3e\u0a1c \u0a24\u0a4b\u0a02 \u0a07\u0a28\u0a15\u0a3e\u0a30 \u0a15\u0a30\u0a26\u0a40 \u0a39\u0a48, \u0a1c\u0a3e\u0a02 \u0a32\u0a71\u0a1b\u0a23 \u0a17\u0a70\u0a2d\u0a40\u0a30 \u0a39\u0a41\u0a70\u0a26\u0a47 \u0a39\u0a28, \u0a24\u0a3e\u0a02 \u0a2e\u0a3e\u0a39\u0a3f\u0a30 \u0a26\u0a47\u0a16\u0a2d\u0a3e\u0a32 \u0a32\u0a08 \u0a30\u0a48\u0a2b\u0a30\u0a32 &#039;\u0a24\u0a47 \u0a35\u0a3f\u0a1a\u0a3e\u0a30 \u0a15\u0a30\u0a4b: HMB \u0a26\u0a47 \u0a15\u0a3e\u0a30\u0a28 \u0a26\u0a3e \u0a2a\u0a24\u0a3e \u0a32\u0a17\u0a3e\u0a09\u0a23 \u0a32\u0a08 \u0a1c\u0a3e\u0a02\u0a1a, \u0a1c\u0a47 \u0a32\u0a4b\u0a5c \u0a39\u0a4b\u0a35\u0a47, \u0a15\u0a3f\u0a38\u0a47 \u0a35\u0a40 \u0a1c\u0a3e\u0a02\u0a1a \u0a28\u0a42\u0a70 \u0a27\u0a3f\u0a06\u0a28 \u0a35\u0a3f\u0a1a \u0a30\u0a71\u0a16\u0a26\u0a47 \u0a39\u0a4b\u0a0f, \u0a14\u0a30\u0a24 \u0a26\u0a40 \u0a2a\u0a39\u0a3f\u0a32\u0a3e\u0a02 \u0a39\u0a40 \u0a15\u0a40\u0a24\u0a40 \u0a17\u0a08 \u0a39\u0a48 \u0a05\u0a24\u0a47 \u0a35\u0a3f\u0a15\u0a32\u0a2a\u0a15 \u0a07\u0a32\u0a3e\u0a1c \u0a35\u0a3f\u0a15\u0a32\u0a2a, \u0a38\u0a2e\u0a47\u0a24 : \u0a2b\u0a3e\u0a30\u0a2e\u0a3e\u0a15\u0a4b\u0a32\u0a4b\u0a1c\u0a40\u0a15\u0a32 \u0a35\u0a3f\u0a15\u0a32\u0a2a \u0a2a\u0a39\u0a3f\u0a32\u0a3e\u0a02 \u0a39\u0a40 \u0a28\u0a39\u0a40\u0a02 \u0a05\u0a1c\u0a3c\u0a2e\u0a3e\u0a0f \u0a17\u0a0f (\u0a2a\u0a3f\u0a1b\u0a32\u0a47 \u0a35\u0a3e\u0a02\u0a17), \u0a35\u0a3f\u0a15\u0a32\u0a2a\u0a15 \u0a38\u0a30\u0a1c\u0a40\u0a15\u0a32 \u0a35\u0a3f\u0a15\u0a32\u0a2a<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><strong>\u0a26\u0a3f\u0a38\u0a3c\u0a3e-\u0a28\u0a3f\u0a30\u0a26\u0a47\u0a38\u0a3c<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><a href=\"https:\/\/www.pms.org.uk\/app\/uploads\/2019\/10\/NAPS-MENSTRUAL-DIARY.docx\"><strong>https:\/\/www.pms.org.uk\/app\/uploads\/2019\/10\/NAPS-MENSTRUAL-DIARY.docx<\/strong><\/a><br><strong>\u00a0<\/strong><br><a href=\"https:\/\/ebi.aomrc.org.uk\/interventions\/hysterectomy-for-heavy-menstrual-bleeding\/\">\u0a2d\u0a3e\u0a30\u0a40 \u0a2e\u0a3e\u0a39\u0a35\u0a3e\u0a30\u0a40 \u0a16\u0a42\u0a28 \u0a35\u0a39\u0a3f\u0a23 \u0a32\u0a08 \u0a39\u0a3f\u0a38\u0a1f\u0a30\u0a47\u0a15\u0a1f\u0a4b\u0a2e\u0a40 - EBI (aomrc.org.uk)<\/a><br>\u00a0<br>\u0a2d\u0a3e\u0a30\u0a40 \u0a2a\u0a40\u0a30\u0a40\u0a05\u0a21\u0a1c\u0a3c - NHS (www.nhs.uk)<br>\u00a0<br><a href=\"https:\/\/www.nhs.uk\/conditions\/hysterectomy\/\">\u0a39\u0a3f\u0a38\u0a1f\u0a30\u0a47\u0a15\u0a1f\u0a4b\u0a2e\u0a40 - NHS (www.nhs.uk)<\/a><br>\u00a0<br><a href=\"https:\/\/cks.nice.org.uk\/topics\/menorrhagia-heavy-menstrual-bleeding\/\">\u0a2e\u0a47\u0a28\u0a4b\u0a30\u0a47\u0a1c\u0a40\u0a06 (\u0a2d\u0a3e\u0a30\u0a40 \u0a2e\u0a3e\u0a39\u0a35\u0a3e\u0a30\u0a40 \u0a16\u0a42\u0a28 \u0a35\u0a17\u0a23\u0a3e) | \u0a38\u0a3f\u0a39\u0a24 \u0a35\u0a3f\u0a38\u0a3c\u0a47 A \u0a24\u0a4b\u0a02 Z | CKS | \u0a28\u0a3e\u0a07\u0a38<\/a><br>\u00a0<br><a href=\"https:\/\/cks.nice.org.uk\/topics\/menopause\/prescribing-information\/hormone-replacement-therapy-hrt\/\">\u0a39\u0a3e\u0a30\u0a2e\u0a4b\u0a28 \u0a30\u0a3f\u0a2a\u0a32\u0a47\u0a38\u0a2e\u0a48\u0a02\u0a1f \u0a25\u0a48\u0a30\u0a47\u0a2a\u0a40 (HRT) | \u0a24\u0a1c\u0a35\u0a40\u0a1c\u0a3c \u0a1c\u0a3e\u0a23\u0a15\u0a3e\u0a30\u0a40 | \u0a2e\u0a40\u0a28\u0a4b\u0a2a\u0a4c\u0a1c\u0a3c | CKS | \u0a28\u0a3e\u0a07\u0a38<\/a><br>\u00a0<br><a href=\"https:\/\/thebms.org.uk\/publications\/bms-joint-guidelines\/management-of-unscheduled-bleeding-on-hormone-replacement-therapy-hrt\/\">\u0a39\u0a3e\u0a30\u0a2e\u0a4b\u0a28 \u0a30\u0a3f\u0a2a\u0a32\u0a47\u0a38\u0a2e\u0a48\u0a02\u0a1f \u0a25\u0a48\u0a30\u0a47\u0a2a\u0a40 (\u0a10\u0a1a\u0a06\u0a30\u0a1f\u0a40) &#039;\u0a24\u0a47 \u0a05\u0a28\u0a38\u0a42\u0a1a\u0a3f\u0a24 \u0a16\u0a42\u0a28 \u0a35\u0a39\u0a3f\u0a23 \u0a26\u0a3e \u0a2a\u0a4d\u0a30\u0a2c\u0a70\u0a27\u0a28 - \u0a2c\u0a4d\u0a30\u0a3f\u0a1f\u0a3f\u0a38\u0a3c \u0a2e\u0a47\u0a28\u0a4b\u0a2a\u0a4c\u0a1c\u0a3c \u0a38\u0a41\u0a38\u0a3e\u0a07\u0a1f\u0a40 (thebms.org.uk)<\/a><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><strong>\u0a35\u0a27\u0a40\u0a15 \u0a1c\u0a3e\u0a23\u0a15\u0a3e\u0a30\u0a40<\/strong><\/p>\n\n\n\n<p><strong>\u0a17\u0a3e\u0a07\u0a28\u0a40\u0a15\u0a4b\u0a32\u0a4b\u0a1c\u0a40 \u0a2a\u0a3e\u0a25\u0a35\u0a47\u0a05 \u0a16\u0a4b\u0a1c\u0a40<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"560\" src=\"https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2024\/05\/image.png?resize=800%2C560&#038;ssl=1\" alt=\"\" class=\"wp-image-17080\" srcset=\"https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2024\/05\/image.png?resize=1024%2C717&amp;ssl=1 1024w, https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2024\/05\/image.png?resize=300%2C210&amp;ssl=1 300w, https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2024\/05\/image.png?resize=768%2C538&amp;ssl=1 768w, https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2024\/05\/image.png?resize=18%2C12&amp;ssl=1 18w, https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2024\/05\/image.png?w=1270&amp;ssl=1 1270w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<p><strong>\u0a05\u0a28\u0a38\u0a42\u0a1a\u0a3f\u0a24 \u0a16\u0a42\u0a28 \u0a35\u0a39\u0a3f\u0a23 \u0a26\u0a3e \u0a2a\u0a4d\u0a30\u0a2c\u0a70\u0a27\u0a28 \u0a15\u0a30\u0a28\u0a3e<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"577\" src=\"https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2024\/05\/image-1.png?resize=800%2C577&#038;ssl=1\" alt=\"\" class=\"wp-image-17081\" srcset=\"https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2024\/05\/image-1.png?resize=1024%2C738&amp;ssl=1 1024w, https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2024\/05\/image-1.png?resize=300%2C216&amp;ssl=1 300w, 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