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Women's health services in Aotearoa New Zealand

The scope of women's health services in Aotearoa New Zealand is broad. Services are provided in primary care through GPs, nurse practitioners, midwives, and physiotherapists, and in secondary care by obstetrics and gynaecology, urogynaecology, and gynaecology oncologist services. The services include assessment and care for:

  • abnormal uterine bleeding and menstrual disorders including menorrhagia, dysmenorrhoea, metrorrhagia
  • pelvic organ prolapse
  • reproductive health (contraception, family planning, fertility services)
  • cancer screening and treatment
  • cervical, endometrial, ovarian and vulvo-vaginal abnormalities
  • maternal care, including urgent care and mental health support
  • services for specific conditions such as endometriosis, pelvic pain, dyspareunia, urinary incontinence and other urogynaecology

Guidance

Assessment and management of Abnormal Uterine Bleeding (AUB) in non-pregnant women of reproductive age (external link)

Abnormal uterine bleeding (AUB) is the most common gynaecological disorder presenting to primary and secondary care clinicians. In addition to significant physical and psychological sequelae, it may be a sign of serious underlying pathology. This guideline fills a gap in accessibility of consistent clinical guidance on AUB best management. It is based on current evidence-based best practice and was developed with extensive multi-disciplinary clinical input. Where evidence is lacking, consensus based good practice points have been provided.