Report Detail

Other Heavy Menstrual Bleeding (HMB)- Market Insights, Epidemiology and Market Forecast—2028

  • RnM3869821
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  • 24 January, 2020
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  • Global
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  • 190 Pages
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  • DelveInsight
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  • Other

DelveInsight’s ‘Heavy Menstrual Bleeding (HMB)- Market Insights, Epidemiology and Market Forecast—2028’ report delivers an in-depth understanding of the disease, historical & forecasted epidemiology as well as the market trends of Heavy Menstrual Bleeding (HMB) in the United States, EU5 (Germany, Spain, Italy, France and United Kingdom), and Japan.
The Report provides the current treatment practices, emerging drugs, market share of the individual therapies, current and forecasted market size of Heavy Menstrual Bleeding (HMB) from 2017 to 2028 segmented by seven major markets. The Report also covers current treatment practice/algorithm, market drivers, market barriers and unmet medical needs to curate best of the opportunities and assess underlying potential of the market.
Geography Covered
• The United States
• EU5 (Germany, France, Italy, Spain and the United Kingdom)
• Japan

Study Period: 2017–2028
Heavy Menstrual Bleeding (HMB) - Disease Understanding and Treatment Algorithm
Traditionally Heavy Menstrual Bleeding (HMB) is defined as bleeding in excess of 80 mL per menstrual cycle when measured objectively, although, among women who present with the complaint of significant HMB, fewer than 50% have been objectively shown to have >80 mL of menstrual loss. HMB is a relatively uncommon complaint in younger women, yet has a prevalence of one in three women in the perimenopausal period. The gold standard for the measurement of blood in sanitary products is the extraction of hematin using a 5% sodium hydroxide solution and the estimation of the alkaline hematin content by spectrophotometry. This method is not feasible in clinical practice and has only been used in research studies. In a rigorous study in which the alkaline hematin method was used to measure menstrual blood loss, HMB was predicted on the basis of clots ≥1 inch in diameter, low ferritin, and “flooding,” defined as a change of pad or tampon more frequently than hourly.
The DelveInsight Heavy Menstrual Bleeding market report gives the thorough understanding of the Heavy Menstrual Bleeding by including details such as disease introduction, signs and symptoms, causes, pathophysiology, diagnosis and differential diagnosis. It also provides treatment algorithms and treatment guidelines for Heavy Menstrual Bleeding in the US and Europe.
Heavy Menstrual Bleeding (HMB) Epidemiology
Heavy menstrual bleeding (HMB) is one of the most common debilitating gynecologic disorders affecting women of reproductive age. It is subjectively defined as heavy cyclical menstrual bleeding occurring over several consecutive cycles. Empirically, it is a total blood loss of at least 80 mL per menstrual cycle or a menstrual cycle lasting longer than 7 days. The black race proves to be recurrently reported to increase uterine fibroids associated with HMB risk, by two- to threefold compare with the white race.
The disease epidemiology covered in the report provides historical as well as forecasted epidemiology scenario of Heavy Menstrual Bleeding in the 7MM covering United States, EU5 countries (Germany, Spain, Italy, France and United Kingdom) and Japan from 2017–2028 for the following aspects:
• Prevalent Population of Heavy Menstrual Bleeding in the United States
• Prevalent Population of Uterine Fibroids in the United States
• Prevalent Population of Heavy Menstrual Bleeding due to Uterine Fibroids in the United States
• Diagnosed Prevalent Population of Heavy Menstrual Bleeding in the United States
• Diagnosed Prevalent Population of Heavy Menstrual Bleeding due to Uterine Fibroids in the United States
A retrospective population-based cohort study of women, aged 18–65 years, enrolled 2005 through 2014 in Kaiser Permanente Washington found that overall prevalence of uterine fibroids in 2014 was 9.6%, and was the highest among women aged 50–54 years, i.e., 15.9%. Black women had a higher prevalence (18.5%) than other racial/ethnic groups by Yu et al., 2018. In addition, symptomatic uterine fibroids may affect up to 25% of all women and up to 30–40% of women in the perimenopausal age range.
As per Minimally Invasive Gynecology Worldwide, (2012) by the American Association of Gynecologic Laparoscopists, Uterine leiomyomas are tumors of the myometrium that have a prevalence as high as 70–80% at age 50, but that seems to vary with a number of factors including age, race, and, possibly geographic location. Prevalence in symptom-free women has been reported to be as low as 7.8% in Scandinavian women aged 33–40, whereas in the United States, it is almost 40% in white patients and more than 60% in women of African ancestry in the same age group. Leiomyomas are listed as the diagnosis for about 39% of the approximately 600,000 hysterectomies performed each year in the United States.
Heavy Menstrual Bleeding (HMB) Drug Chapters
This segment of the Heavy Menstrual Bleeding report encloses the detailed analysis of marketed drugs and late stage (Phase-III) pipeline drugs. It also helps to understand the clinical trial details, expressive pharmacological action, agreements and collaborations, approval and patent details, advantages and disadvantages of each included drug and the latest news and press releases.
To meet the increasing demand for the treatment Heavy Menstrual Bleeding, companies have shifted their focus towards the development of targeted therapies. Expected launch of potential therapies may increase the market size in the coming years, assisted by an increase in the prevalent population of Heavy Menstrual Bleeding & awareness of the disease. The overall dynamics of Heavy Menstrual Bleeding market is anticipated to change in the coming years owing to the expected launch of emerging therapies of the major key players such as ObsEva, AbbVie, Myovant Sciences and Bayer will significantly increase the market during the forecast period (2019–2028).
Heavy Menstrual Bleeding (HMB) Market Outlook
Heavy menstrual bleeding is a leading gynecologic problem, affecting more than 30% of women at some point in their life. A vigilant explanation of the cause of HMB is crucial in the management of women with HMB. There are a tremendous number of options available for the patients with HMB to reduce their blood loss and improve quality of life. The major role depends on the clinician, which is to provide proper information to facilitate women in making an appropriate choice of treatment.
The majorly employed treatment alternatives include either pharmacological interventions or surgical treatment. Pharmacological options are further bifurcated into classes such as hormonal therapies, Gonadotropin-releasing hormone (GnRH) agonists, birth control pills, Non-steroidal anti-inflammatory drugs (NSAIDs) and antifibrinolytic medicines while surgical options include endometrial ablation, uterine artery embolization (UAE), myomectomy and hysterectomy.
This segment gives a through detail of market trend of each marketed drug in late-stage pipeline therapy by evaluating their impact based on annual cost of therapy, inclusion and exclusion criteria’s, mechanism of action, compliance rate, growing need of the market, increasing patient pool, covered patient segment, expected launch year, competition with other therapies, brand value, their impact on the market and view of the key opinion leaders. The calculated market data are presented with relevant tables and graphs to give a clear view of the market at first sight.
According to DelveInsight, the market of Heavy Menstrual Bleeding in the 7MM is expected to change from 2019–2028.
Heavy Menstrual Bleeding (HMB) Drugs Uptake
This section focusses on the rate of uptake of the potential drugs recently launched in the market or will get launched in the market during the study period from 2017–2028. The analysis covers market uptake by drugs; patient uptake by therapies and sales of each drug.
This helps in understanding the drugs with the most rapid uptake, reasons behind the maximal use of new drugs and allows the comparison of the drugs on the basis of market share and size which again will be useful in investigating factors important in market uptake and in making financial and regulatory decisions.
Expected launch of therapies for Heavy Menstrual Bleeding (HMB) such as ObsEva (Linzagolix; OBE2109), AbbVie (Elagolix), Myovant Sciences (Relugolix; TAK-385), Bayer (Vilaprisan; BAY1002670) and other targeted therapies in the forecast period [2019–2028] will also create a positive impact on the Heavy Menstrual Bleeding (HMB) market.
Heavy Menstrual Bleeding (HMB) Report Insights
• Patient Population
• Therapeutic Approaches
• Market Size and Trends
• Market Opportunities
• Impact of upcoming Therapies
Heavy Menstrual Bleeding (HMB) Report Key Strengths
• 10 Year Forecast
• 7MM Coverage
• Epidemiology Segmentation
• Drugs Uptake
• Highly Analyzed Market
• Key Cross Competition
Heavy Menstrual Bleeding (HMB) Report Assessment
• Current Treatment Practices
• Unmet Needs
• Market Attractiveness
• Market Drivers and Barriers

Key Benefits
• This DelveInsight report will help to develop Business Strategies by understanding the trends shaping and driving Heavy Menstrual Bleeding (HMB)market
• Organize sales and marketing efforts by identifying the best opportunities for Heavy Menstrual Bleeding (HMB)market
• To understand the future market competition in the Heavy Menstrual Bleeding (HMB) market.


1. Key Insights

    2. Heavy Menstrual Bleeding Market Overview at a Glance

    • 2.1. Market Share (%) Distribution of Heavy Menstrual Bleeding in 2017
    • 2.2. Market Share (%) Distribution of Heavy Menstrual Bleeding in 2028

    3. Disease Background and Overview: Heavy Menstrual Bleeding

    • 3.1. Introduction
    • 3.2. Causes of HMB
    • 3.3. Polyps
    • 3.4. Myometrial dysfunctions (adenomyosis & leiomyoma)
    • 3.5. Malignancy and hyperplasia
    • 3.6. Coagulopathy
    • 3.7. Ovulatory dysfunction (hormonal causes of HMB)
    • 3.8. Endometrial causes of HMB
    • 3.9. Iatrogenic
    • 3.10. Multiple common pathways that contribute to HMB
    • 3.11. Diagnosis of Heavy menstrual Bleeding
    • 3.12. Differential diagnosis for HMB from structural causes
    • 3.13. Differential diagnosis with disorders of hemostasis and coagulopathy
    • 3.14. NICE Diagnostic guidelines for HMB

    4. Epidemiology and Patient Population: Key Findings

    • 4.1. 7MM Total Patient Population of Heavy Menstrual Bleeding
    • 4.2. 7MM Total Diagnosed Patient Population of Heavy Menstrual Bleeding

    5. Country Wise-Epidemiology of Heavy Menstrual Bleeding

    • 5.1. United States
      • 5.1.1. Assumptions and Rationale
      • 5.1.2. Heavy Menstrual Bleeding Prevalent Population in the United States
      • 5.1.3. Uterine Fibroids Prevalent Population in the United States
      • 5.1.4. Heavy Menstrual Bleeding due to Uterine Fibroids Prevalent Population in the United States
      • 5.1.5. Heavy Menstrual Bleeding Diagnosed Prevalent Population in the United States
      • 5.1.6. Heavy Menstrual Bleeding due to Uterine Fibroids Diagnosed Prevalent Population in the United States
    • 5.2. EU5 Countries
      • 5.2.1. Assumptions and Rationale
    • 5.3. Germany
      • 5.3.1. Assumptions and Rationale
      • 5.3.2. Heavy Menstrual Bleeding Prevalent Population in Germany
      • 5.3.3. Uterine Fibroids Prevalent Population in Germany
      • 5.3.4. Heavy Menstrual Bleeding due to Uterine Fibroids Prevalent Population in Germany
      • 5.3.5. Heavy Menstrual Bleeding Diagnosed Prevalent Population in Germany
      • 5.3.6. Heavy Menstrual Bleeding due to Uterine Fibroids Diagnosed Prevalent Population in Germany
    • 5.4. France
      • 5.4.1. Assumptions and Rationale
      • 5.4.2. Heavy Menstrual Bleeding Prevalent Population in France
      • 5.4.3. Uterine Fibroids Prevalent Population in France
      • 5.4.4. Heavy Menstrual Bleeding due to Uterine Fibroids Prevalent Population in France
      • 5.4.5. Heavy Menstrual Bleeding Diagnosed Prevalent Population in France
      • 5.4.6. Heavy Menstrual Bleeding due to Uterine Fibroids Diagnosed Prevalent Population in France
    • 5.5. Italy
      • 5.5.1. Assumptions and Rationale
      • 5.5.2. Heavy Menstrual Bleeding Prevalent Population in Italy
      • 5.5.3. Uterine Fibroids Prevalent Population in Italy
      • 5.5.4. Heavy Menstrual Bleeding due to Uterine Fibroids Prevalent Population in Italy
      • 5.5.5. Heavy Menstrual Bleeding Diagnosed Prevalent Population in Italy
      • 5.5.6. Heavy Menstrual Bleeding due to Uterine Fibroids Diagnosed Prevalent Population in Italy
    • 5.6. Spain
      • 5.6.1. Assumptions and Rationale
      • 5.6.2. Heavy Menstrual Bleeding Prevalent Population in Spain
      • 5.6.3. Uterine Fibroids Prevalent Population in Spain
      • 5.6.4. Heavy Menstrual Bleeding due to Uterine Fibroids Prevalent Population in Spain
      • 5.6.5. Heavy Menstrual Bleeding Diagnosed Prevalent Population in Spain
      • 5.6.6. Heavy Menstrual Bleeding due to Uterine Fibroids Diagnosed Prevalent Population in Spain
    • 5.7. United Kingdom
      • 5.7.1. Assumptions and Rationale
      • 5.7.2. Heavy Menstrual Bleeding Prevalent Population in the United Kingdom
      • 5.7.3. Uterine Fibroids Prevalent Population in the United Kingdom
      • 5.7.4. Heavy Menstrual Bleeding due to Uterine Fibroids Prevalent Population in the United Kingdom
      • 5.7.5. Heavy Menstrual Bleeding Diagnosed Prevalent Population in the United Kingdom
      • 5.7.6. Heavy Menstrual Bleeding due to Uterine Fibroids Diagnosed Prevalent Population in the United Kingdom
    • 5.8. Japan
      • 5.8.1. Assumptions and Rationale
      • 5.8.2. Heavy Menstrual Bleeding Prevalent Population in Japan
      • 5.8.3. Uterine Fibroids Prevalent Population in Japan
      • 5.8.4. Heavy Menstrual Bleeding due to Uterine Fibroids Prevalent Population in Japan
      • 5.8.5. Heavy Menstrual Bleeding Diagnosed Prevalent Population in Japan
      • 5.8.6. Heavy Menstrual Bleeding due to Uterine Fibroids Diagnosed Prevalent Population in Japan

    6. Treatment

    • 6.1. Combination hormonal contraceptives
    • 6.2. Progestins
      • 6.2.1. In women with a history of thrombosis who are on anticoagulation
      • 6.2.2. In women with a history of thrombosis who are not on anticoagulation
    • 6.3. NSAID preparations
    • 6.4. Intrauterine system releasing levonorgestrel (LNG)
    • 6.5. Gonadotropin-releasing hormone agonists/antagonists
    • 6.6. Tranexamic acid an anti-Fibrinolytic
    • 6.7. Danazol
    • 6.8. Selective progesterone receptor modulators
    • 6.9. Combined oral contraceptive pill
    • 6.10. Injectable progestogens
    • 6.11. Ulipristal acetate for treatment of uterine fibroids
    • 6.12. Surgical interventions for treatment of heavy menstrual bleeding
      • 6.12.1. Endometrial ablation
      • 6.12.2. Hysterectomy
    • 6.13. Non Hormonal treatment for Anemia caused by HMB
    • 6.14. HMB: The American College of Obstetricians and Gynecologists Recommendations for management of HMB (2019)
      • 6.14.1. Suggestions for Hormonal Medical therapy
    • 6.15. NICE guidelines for management of Heavy Menstrual Bleeding
    • 6.16. Treatment Algorithm

    7. Unmet Needs

      8. Marketed Drugs

      • 8.1. Lysteda (Tranexamic acid): Ferring Pharmaceuticals
        • 8.1.1. Drug Description
        • 8.1.2. Regulatory Milestones
        • 8.1.3. Other Development Activities
        • 8.1.4. Safety and Efficacy
        • 8.1.5. Product Profile
      • 8.2. Natazia (Estradiol valerate / Dienogest): Bayer
        • 8.2.1. Drug Description
        • 8.2.2. Regulatory Milestones
        • 8.2.3. Other Development Activities
        • 8.2.4. Safety and Efficacy
        • 8.2.5. Product Profile
      • 8.3. Mirena (levonorgestrel-releasing intrauterine system): Bayer
        • 8.3.1. Drug Description
        • 8.3.2. Regulatory Milestones
        • 8.3.3. Other Development Activities
        • 8.3.4. Safety and Efficacy
        • 8.3.5. Product Profile

      9. Emerging Drugs

      • 9.1. Key Cross Competition
      • 9.2. Linzagolix (OBE2109): ObsEva
        • 9.2.1. Product Description
        • 9.2.2. Other Developmental Activities
        • 9.2.3. Clinical Development
        • 9.2.4. Product Profile
      • 9.3. Elagolix: AbbVie
        • 9.3.1. Product Description
        • 9.3.2. Other Developmental Activities
        • 9.3.3. Clinical Development
        • 9.3.4. Product Profile
      • 9.4. Relugolix (TAK-385): Myovant Sciences
        • 9.4.1. Product Description
        • 9.4.2. Other Developmental Activities
        • 9.4.3. Clinical Development
        • 9.4.4. Product Profile
      • 9.5. Vilaprisan (BAY1002670): Bayer
        • 9.5.1. Product Description
        • 9.5.2. Clinical Development
        • 9.5.3. Product Profile
      • 9.6. Leuprolide: Enteris BioPharma
        • 9.6.1. Product Description
        • 9.6.2. Clinical Development
        • 9.6.3. Product Profile

      10. Heavy Menstrual Bleeding: 7MM Analysis

      • 10.1. Key Findings
      • 10.2. Market Size of Heavy Menstrual Bleeding in the 7MM
      • 10.3. 7MM Market Outlook
      • 10.4. United States Market Size
        • 10.4.1. Total Market size of Heavy Menstrual Bleeding
        • 10.4.2. Market Size by Therapies
      • 10.5. Germany Market Size
        • 10.5.1. Total Market size of Heavy Menstrual Bleeding in Germany
        • 10.5.2. Market Size by Therapies
      • 10.6. France Market Size
        • 10.6.1. Total Market Size of Heavy Menstrual Bleeding
        • 10.6.2. Market Size by Therapies
      • 10.7. Italy Market Size
        • 10.7.1. Total Market Size of Heavy Menstrual Bleeding
        • 10.7.2. Market Size by Therapies
      • 10.8. Spain Market Size
        • 10.8.1. Total Market Size of Heavy Menstrual Bleeding
        • 10.8.2. Market Size by Therapies
      • 10.9. United Kingdom Market Size
        • 10.9.1. Total Market Size of Heavy Menstrual Bleeding
        • 10.9.2. Market Size by Therapies
      • 10.10. Japan market Size
        • 10.10.1. Total Market Size of Heavy Menstrual Bleeding
        • 10.10.2. Market Size by Therapies

      11. Case Reports

      • 11.1. Patient-reported prevalence and symptomatic burden of uterine fibroids among women in the United States: findings from a cross-sectional survey analysis
      • 11.2. Symptoms of uterine myomas: data of an epidemiological study in Germany
      • 11.3. Burden of uterine fibroids in Italy: epidemiology, treatment outcomes, and consumption of health care resources in more than 5,000 women
      • 11.4. Treatment patterns and health care resource utilization and costs in heavy menstrual bleeding: a Japanese claims database analysis

      12. Market Drivers

        13. Market Barriers

          14. Appendix

          • 14.1. Bibliography
          • 14.2. Report Methodology

          15. DelveInsight Capabilities

            16. Disclaimer

              17. About DelveInsight

              Summary:
              Get latest Market Research Reports on Heavy Menstrual Bleeding (HMB). Industry analysis & Market Report on Heavy Menstrual Bleeding (HMB) is a syndicated market report, published as Heavy Menstrual Bleeding (HMB)- Market Insights, Epidemiology and Market Forecast—2028. It is complete Research Study and Industry Analysis of Heavy Menstrual Bleeding (HMB) market, to understand, Market Demand, Growth, trends analysis and Factor Influencing market.

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