Prise en charge des ménorragies : recommandations pour la pratique clinique du Collège national des gynécologues et obstétriciens français (CNGOF)

Brun JL, J.-L. Brun, G Plu-Bureau, Geneviève Plu‐Bureau, Plu-Bureau G, Cyrille Huchon, C Huchon, Huchon C, X Ah-Kit, Ah-Kit X, M Barral, Matthias Barral, Barral M, Pauline Chauvet, P. Chauvet, Chauvet P, F. Cornélis, F Cornelis, M Cortet, Marion Cortet, Patrice Crochet, P Crochet, Crochet P, V Delporte, Delporte V, Victoire Delporte, Dubernard G, G Dubernard, Gil Dubernard, Géraldine Giraudet, G Giraudet, Giraudet G, A. Gosset, Gosset A, Graesslin O, O Graesslin, Olivier Graesslin, Justine Hugon‐Rodin, Hugon-Rodin J, J Hugon-Rodin, Lise Lecointre, L Lecointre, Lecointre L, Guillaume Legendre, G Legendre, Legendre G, L Maitrot-Mantelet, Lorraine Maitrot‐Mantelet, Maitrot-Mantelet L, L Marcellin, Louis Marcellin, Marcellin L, Laura Miquel, L. Miquel, Le Mitouard M, M Le Mitouard, Marine Le Mitouard, C Proust, Proust C, A. Roquette, Roquette A, Pascal Rousset, P Rousset, Rousset P, Sangnier E, E Sangnier, Marc Sapoval, Sapoval M, M Sapoval, Thubert T, T. Thubert, Torre A, A Torre, Antoine Torre, F Trémollières, Florence Trémollières, Trémollières F, Vernhet-Kovacsik H, H Vernhet-Kovacsik, Vidal F, Fabien Vidal, F Vidal, Marret H, H. Marret
Gynecologie, obstetrique, fertilite & senologie · 2022 · vol. 50(5) , pp. 345–373 · doi:10.1016/j.gofs.2022.02.078 · PMID:35248756 · W4214870407
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-10 ⓘ

This clinical practice guideline from the French National College of Gynecologists and Obstetricians (CNGOF) provides recommendations for the management of heavy menstrual bleeding.

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Abstract

ObjectiveTo provide French guidelines for the management of women with abnormal uterine bleeding (AUB).DesignA consensus committee of 26 experts was formed. A formal conflict-of-interest (COI) policy was developed at the beginning of the process and enforced throughout. The entire guidelines process was conducted independently of any industrial funding (i.e. pharmaceutical, or medical devices). The authors were advised to follow the rules of the Grading of Recommendations Assessment, Development and Evaluation (GRADE®) system to guide assessment of quality of evidence. The potential drawbacks of making strong recommendations in the presence of low-quality evidence were emphasized.MethodsThe last guidelines from the Collège national des gynécologues et obstétriciens français (CNGOF) on the management of women with AUB was published in 2008. The literature seems now sufficient for an update. The committee studied questions within 7 fields (diagnosis; adolescent; idiopathic AUB; endometrial hyperplasia and polyps; fibroids type 0 to 2; fibroids type 3 and more; adenomyosis). Each question was formulated in a PICO (Patients, Intervention, Comparison, Outcome) format and the evidence profiles were produced. The literature review and recommendations were made according to the GRADE® methodology.ResultsThe experts' synthesis work and the application of the GRADE method resulted in 36 recommendations. Among the formalized recommendations, 19 present a strong agreement and 17 a weak agreement. Fourteen questions did not find any response in the literature. We preferred to abstain from recommending instead of providing expert advice.ConclusionsThe 36 recommendations made it possible to specify the diagnostic and therapeutic strategies of various clinical situations managed by the practitioner, from the simplest to the most complex.

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MeSH descriptors

Leiomyoma Physicians Uterine Diseases Adolescent Consensus Educational Status Female Humans Uterine Hemorrhage Uterine Hemorrhage Uterine Hemorrhage

Citation neighborhood

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References (100)

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