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Surveillance recommendation GE is asked to consider the proposal to update the following area of guideline CG44: Heavy menstrual bleeding using the Standing Committee for Updates via the Clinical Guidelines Update Team:- Medical management of women with uterine fibroids: ‘What is the clinical and cost effectiveness of medical treatments for fibroids greater than 3cm in diameter.’ GE is asked to consider the proposal to update the following areas of guideline CG44: Heavy menstrual bleeding using the standard update process:- Diagnosis of women with heavy menstrual bleeding- Management of women with heavy menstrual bleeding, including: o Pharmacological managment o Surgical management, including hysterectomy and endometrial ablation and resection.- The diagnosis and management of women with adenomyosis GE are asked to note that this ‘yes to update ’ proposal will not be consulted on.