The implications of hysteroscopy in the updated guidelines on heavy menstrual bleeding from the UK National Institute for Health and Care Excellence (NICE)

• Heavy Menstrual Bleeding (HMB) is a common condition that significantly impacts on quality of life. • Updated national guidelines recommend increased use of hysteroscopy in the management of HMB. • This change will have a significant resource implication on service organisation. • The acceptability of hysteroscopy to patients must be considered and steps taken to improve this. • The guideline provides a benchmark, which should provide a catalyst for a dramatic drive for change.