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References

1.    Cox, M, et al. The delivery of heavy menstrual bleeding services in England and Wales after publication of national guidelines: a survey of hospitals. BMC Health Services Res. 2013; 13:491.
2.    NICE. Heavy menstrual bleeding: assessment and management. Guidance 88. Published March 2018. Updated May 2021. Available at: https://www.nice.org.uk/guidance/ng88.
3.    NICE. Clinical Knowledge Summaries. Anaemia – iron deficiency. Last revised April 2023. Accessed October 2023. Available at: https://cks.nice.org.uk/topics/anaemia-iron-deficiency/
4.    Women’s Health Strategy for England. August 2022. Available at: https://www.gov.uk/government/publications/womens-health-strategy-for-england/womens-health-strategy-for-england 
5.    Dutton, B, & Kai, J. Women’s experience of heavy menstrual bleeding and medical treatment: a qualitative study in primary care. Br J Gen Pract. 2023; DOI: https://doi.org/10.3399/BJGP.2022.0460.
6.    Evana® Heavy Period Relief 500 mg Tablets. Summary of Product Characteristics. Last updated 07/11/2023. Accessed April 2024. Available at:  https://evanaperiods.com/hcp/evana/smpc 
7.    Leminen, H, & Hurskainen, R. Tranexamic acid for the treatment of heavy menstrual bleeding: efficacy and safety. Int J Women’s Health. 2012; 4:413–421.
8.    Naoulou, B, & Tsai, MC. Efficacy of tranexamic acid in the treatment of idiopathic and non-functional heavy menstrual bleeding: a systematic review. Acta Obstet Gynecol Scand. 2012; 91:529–537.
9.    NICE Clinical Knowledge Summaries. Menorrhagia (heavy menstrual bleeding). Last revised March 2023. Accessed October 2023. Available at: https://cks.nice.org.uk/topics/menorrhagia-heavy-menstrual-bleeding/.
10.    Bryant-Smith, AC, et al. Antifibrinolytics for heavy menstrual bleeding (review). Cochrane Database of Systematic Reviews. 2018, Issue 4. Art. No.: CD000249.
11.    NHS. Heavy periods. Last reviewed November 2021. Accessed October 2023. Available at: https://www.nhs.uk/conditions/heavy-periods/.
12.    Primary Care Women’s Health Forum. Counselling aid: management options for heavy menstrual bleeding (HMB). Accessed October 2023. Available at: https://pcwhf.co.uk/resources/counselling-aid-management-options-for-heavy-menstrual-bleeding/.
13.    Maybin, JA, & Critchley, HOD. Medical management of heavy menstrual bleeding. Women’s Health. 2016;12(1):27–34.
14.    Schutgens, REG, & Lisman, T. Tranexamic acid is not a universal hemostatic agent. HemaSphere. 2021; 5:8(e625).
15.    Winkler, UH. The effect of tranexamic acid on the quality of life of women with heavy menstrual bleeding. EJOG. 2001;99(2):238-243.
16.    Preston JT, et al. Comparative study of tranexamic acid and norethisterone in the treatment of ovulatory menorrhagia. Br J Obstet Gynaecol.1995;100:401–5.
17.    Primary Care Women’s Health Forum. Abnormal uterine bleeding (AUB) myth buster. 2021. Accessed October 2023. Available at: https://pcwhf.co.uk/resources/abnormal-uterine-bleeding-aub-myth-buster/.
18.    Royal College of Obstetrics and Gynaecology, British Society for Gynaecological Endoscopy and The British Gynaecological Cancer Society. Joint RCOG, BSGE and BGCS guidance for the management of abnormal uterine bleeding in the evolving Coronavirus (COVID-19) pandemic. May 2020. Accessed October 2023. Available at: https://www.rcog.org.uk/media/oxyfyvy0/2020-05-21-joint-rcog-bsge-bgcs-guidance-for-management-of-abnormal-ute.pdf.
19.    NICE. Clinical Knowledge Summaries. Dysmenorrhoea. Last revised November 2018. Accessed October 2023. Available at: https://cks.nice.org.uk/topics/dysmenorrhoea/.
20.    NICE. Clinical Knowledge Summaries. Headache – medication overuse headache. Last revised May 2022. Accessed October 2023. Available at: https://cks.nice.org.uk/topics/headache-medication-overuse/.
21.    Royal Pharmaceutical Society of Great Britain. Medicines, Ethics and Practice. Section 3.2.4. Codeine and dihydrocodeine. Accessed November 2023. Available at: https://www.rpharms.com/mep/3-underpinning-knowledge-legislation-and-professional-issues/32-professional-and-legal-issues-pharmacy-medicines/324-codeine-and-dihydrocodeine#gsc.tab=0