title: [The Dutch College of General Practitioners' practice guideline, "Vaginal bleeding"; reaction from a general practice perspective].
abstract: The most important changes in the first revised version of the Dutch College of General Practitioners' practice guideline 'Vaginal bleeding' are the passages about the progesterone-containing 'intra-uterine device' (IUD), the combination of progesterone and oestrogen by prescribing, for example, a sub-50-pill for the treatment of menorrhagia, and advising the patient to undergo a transvaginal ultrasound to determine the amount of build-up in the endometrium. Vacuum aspiration of the endometrium to establish the cause of menorrhagia is not mentioned. This first revised version can contribute to the quality of care in general practice.
authors.forename: J A
authors.initials: JA
authors.lastname: Mazel
mesh_terms: D005260:Female; D006801:Humans; D007434:Intrauterine Devices / Q000009:adverse effects; D008595:Menorrhagia / Q000175:diagnosis* / Q000188:drug therapy; D009426:Netherlands; D010821:Physicians, Family / Q000592:standards*; D017410:Practice Guidelines as Topic; D012955:Societies, Medical; D014463:Ultrasonography; D014592:Uterine Hemorrhage / Q000175:diagnosis / Q000000981:diagnostic imaging*