Screening for bleeding disorders in women with heavy menstrual bleeding

Initial screening for an underlying disorder of hemostasis in patients with excessive menstrual bleeding should be structured by medical history (positive screen comprises any of the following):*

Heavy menstrual bleeding since menarche

One of the following:

Postpartum hemorrhage

Surgery-related bleeding

Bleeding associated with dental work

Two or more of the following symptoms:

Bruising one to two times per month

Epistaxis one to two times per month

Frequent gum bleeding

Family history of bleeding symptoms

* Patients with a positive screen should be considered for further evaluation, including consultation with a hematologist and testing of von Willebrand factor and ristocetin cofactor.

Original figure modified for this publication. Kouides PA, Conard J, Peyvandi F, et al. Hemostasis and menstruation: appropriate investigation for underlying disorders of hemostasis in women with excessive menstrual bleeding. Fertil Steril 2005; 84:1345. Table used with the permission of Elsevier Inc. All rights reserved.

Graphic 90289 Version 2.0

خرید پکیج

Screening for bleeding disorders in women with heavy menstrual bleeding