{"paper_id":"f5472df7-0595-486e-82c1-700f99b059f9","body_text":"Abstract\nBackground Heavy menstrual bleeding (HMB) is a prevalent condition that significantly impacts women of reproductive age. Despite its widespread effect, the multifaceted nature and broader implications of HMB remain underexplored in the UK.\nAim This study aims to investigate the impact of HMB on women’s quality of life, focusing on physical, emotional, and social consequences.\nMethod A mixed-methods survey was developed using the biopsychosocial model and made available online in June 2024. Social media adverts were used to recruit women in the UK with current or past experience of self-reported HMB. Quantitative data was analysed using descriptive statistics, while thematic analysis was applied to the qualitative responses. Ethical approval was granted from University College London Ethics Committee.\nResults Thirty-three women completed the survey. Most participants rated the impact of HMB on their physical health as moderate to severe. Similar trends were observed for mental health, social activities, work, and relationships. Thematic analysis identified four key themes: 1) lack of control and restriction of activities; 2) social stigma and relationship challenges; 3) the toll on mental well-being; and 4) the need for support.\nConclusion This study highlights the pervasive impact of HMB, exacerbated by menstrual stigma, which worsens emotional distress, social isolation, and work-related challenges. These findings stress the need for improved healthcare strategies, increased awareness, and enhanced support systems in professional and social contexts. Future research should explore the economic burden and career-related implications of HMB to inform better healthcare and social policies.\n- © British Journal of General Practice 2025","source_license":"CC0","license_restricted":false}