ReviewHematology. American Society of Hematology. Education Program2018
Evaluation and management of heavy menstrual bleeding in adolescents: the role of the hematologist.
Review in Hematology. American Society of Hematology. Education Program, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 32 citations in OpenAlex.
- Clinical characterization of adolescent girls linked to puberty menorrhagia.Bioinformation · 2026Article
- Evaluation of Complete Blood Count Parameters to Predict Abnormal Uterine Bleeding.Children (Basel, Switzerland) · 2025Article
- Menstrual Disorders in Adolescence: Diagnostic and Therapeutic Challenges.Journal of clinical medicine · 2024Review
- Initial von Willebrand factor antigen values in adolescent females predict future values.Haemophilia : the official journal of the World Federation of Hemophilia · 2023Article
- Prevention and Management of Iron Deficiency/Iron-Deficiency Anemia in Women: An Asian Expert Consensus.Nutrients · 2023Article
- Reproductive Tract Bleeding in Adolescent and Young Adult Females with Inherited Bleeding Disorders: An Underappreciated Problem.Journal of pediatric and adolescent gynecology · 2022Review
- Magnitude and associated factors of anemia among adolescent girls in Ethiopia: a systematic review and meta-analysis.Archives of public health = Archives belges de sante publique · 2022Review
- Quality of life in adolescents with heavy menstrual bleeding: Validation of the Adolescent Menstrual Bleeding Questionnaire (aMBQ).Research and practice in thrombosis and haemostasis · 2021Article
- Elevated von Willebrand factor levels during heavy menstrual bleeding episodes limit the diagnostic utility for von Willebrand disease.Research and practice in thrombosis and haemostasis · 2021Article
- Iron Therapeutics in Women's Health: Past, Present, and Future.Pharmaceuticals (Basel, Switzerland) · 2020Review
- Article
- Hormonal Contraception and Bone Health in Adolescents.Frontiers in endocrinology · 2020Review
- Women With Congenital Hypofibrinogenemia/Afibrinogenemia: From Birth to Death.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/HemostasisReview
- Rare inherited autosomal bleeding disorders in women: sex-related bleeding, pregnancy and delivery. A narrative review.Blood transfusion = Trasfusione del sangueReview
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Authors and funding
1 author at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
Heavy menstrual bleeding (HMB) is frequently reported by adolescents. The role of the hematologist is threefold in evaluating such patients: (1) perform a clinical and laboratory evaluation for an underlying bleeding disorder on the basis of the degree of clinical suspicion, (2) identify and manage any concomitant iron deficiency, and (3) provide input to the referring provider regarding the management of HMB, particularly for patients with identified hemostatic defects. Several clues in the menstrual history should raise suspicion for an underlying bleeding disorder, such as menses lasting >7 days, menstrual flow which soaks >5 sanitary products per day or requires product change during the night, passage of large blood clots, or failure to respond to conventional therapies. A detailed personal and family history of other bleeding symptoms should also be obtained. Iron deficiency with and without anemia is commonly found in young women with HMB. Therefore, it is important to obtain measures of hemoglobin and ferritin levels when evaluating these patients. Iron supplementation is often a key component of management in the adolescent with heavy menses and is still needed in those who have received packed red cell transfusions as a result of severe anemia. Strategies for decreasing menstrual blood flow are similar for adults and adolescents with heavy menses, with combined hormonal contraceptives recommended as first-line therapy. However, there are adolescent-specific considerations for many of these agents, and they must be incorporated into shared decision-making when selecting the most appropriate treatment.
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