Overview of Bleeding Disorders in Adolescent Females with Menorrhagia

Abstract Women bleed with menses, during childbirth, and after childbirth. Women are more likely to manifest a bleeding disorder as they have more opportunities to experience bleeding challenges in their lifetime. Bleeding disorders such as hemophilia and von Willebrand disease affect 2.5–3 million...

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Bibliographic Details
Published in:Journal of pediatric & adolescent gynecology 2010-12, Vol.23 (6), p.S15-S21
Main Authors: Ahuja, Sanjay P., MD, MS, Hertweck, S. Paige, MD
Format: Article
Language:English
Subjects:
Adolescent
Antifibrinolytic Agents - therapeutic use
bleeding disorders
Blood Coagulation Disorders, Inherited - complications
Blood Coagulation Disorders, Inherited - epidemiology
Contraceptives, Oral - therapeutic use
DDAVP
Endometriosis - complications
Female
Hemorrhagic Disorders - complications
Hemorrhagic Disorders - epidemiology
Hemostatics - therapeutic use
Humans
Intrauterine Devices, Medicated
Levonorgestrel - therapeutic use
Menorrhagia
Menorrhagia - diagnosis
Menorrhagia - drug therapy
Menorrhagia - etiology
Menorrhagia - surgery
Obstetrics and Gynecology
oral contraceptives
Ovarian Cysts - complications
Pediatrics
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Summary:Abstract Women bleed with menses, during childbirth, and after childbirth. Women are more likely to manifest a bleeding disorder as they have more opportunities to experience bleeding challenges in their lifetime. Bleeding disorders such as hemophilia and von Willebrand disease affect 2.5–3 million American women. The most common inherited bleeding disorder in the population is von Willebrand disease with an estimated prevalence of 1–2%. von Willebrand factor (vWF) is required to adhere platelets to exposed subendothelium and protects factor VIII from proteolysis in the circulation.1 The prevalence of vWF rises in studies involving women with menorrhagia, with estimates ranging as high as 10–20% in white women, and 1–2% among African American women.2 Other bleeding disorders seen in adolescents with menorrhagia are disorders of inherited platelet dysfunction, clotting factor deficiencies, thrombocytopenia, and disorders of the fibrinolytic pathway. Not only are women more likely to present early in their life with a bleeding disorder, they are also more likely to have other gynecologic manifestations as a result of these disorders. This article presents an overview of the problem and touches upon the different management strategies available.
ISSN:1083-3188
1873-4332
DOI:10.1016/j.jpag.2010.08.006