HEAVY menstrual bleeding in adolescents can be more effectively assessed and prioritised through a structured nursing-led remote evaluation, according to findings from a tertiary multidisciplinary programme. This study was presented at the 2026 Annual Meeting of the European Hematology Association for Haemophilia and Allied disorders (EAHAD), and was awarded as the Top Allied Healthcare Professionals Poster.
Rising Need for Early Assessment
Heavy menstrual bleeding is a common reason for referral among adolescents, most often related to immaturity of the hypothalamic–pituitary–ovarian axis, although bleeding disorders must also be considered. Since 2021, a specialised multidisciplinary unit integrating haematology, gynaecology, and nursing has provided comprehensive assessment for adolescents with heavy menstrual bleeding. A sharp increase in referrals prompted the introduction of a nursing-led remote evaluation to support early triage and optimise use of in-person consultations.
Nursing-Led Remote Evaluation Model
The intervention was implemented in November 2024 and involved a structured telephone assessment conducted two–three months prior to the first face-to-face visit. The evaluation included a detailed menstrual and bleeding history, haemorrhagic risk assessment using standardised tools, delivery and explanation of the Pictorial Bleeding Assessment Chart, and time to address patient concerns. The aim was to ensure early identification of high-risk cases and to provide clinicians with essential clinical data in advance of the multidisciplinary appointment.
Clinical and Organisational Impact
Between November 2024 and October 2025, 57 remote nursing evaluations were completed. In 5.2% of cases, clinical warning signs such as anaemia or persistent profuse bleeding led to expedited in-person assessment. The multidisciplinary team reported that prior data collection improved the depth and efficiency of consultations, as key clinical information was already available. Systematic use of the Pictorial Bleeding Assessment Chart contributed to diagnostic consistency before treatment decisions and allowed monitoring of therapeutic effectiveness through comparison of pre- and post-intervention scores.
Overall, the findings suggest that a nursing-led remote evaluation can enhance quality of care for adolescents with heavy menstrual bleeding by supporting early risk stratification, improving clinical preparedness, and promoting patient engagement. This model may help deliver timely and individualised management while improving workflow within specialised multidisciplinary services.
Reference
Benedicto Moreno C et al. Implementation of a Nursing-Led Remote Evaluation for the Assessment and Prioritization of Adolescents with Heavy Menstrual Bleeding. Abstract NUR02. EAHAD 2026 Annual Meeting; 3-6 February 2026.
