Characteristics and management of heavy menstrual bleeding in girls with bleeding tendency | ||
| Minia Journal of Medical Research | ||
| Article 61, Volume 30, Issue 4, October 2019, Pages 373-377 PDF (260.67 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/mjmr.2022.221793 | ||
| Authors | ||
| Attia Mohamed1; Hams A. Attalla2 | ||
| 1Department of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt | ||
| 2Department of Pediatrics, Faculty of Medicine, Helwan University, Helwan, Cairo, Egypt. | ||
| Abstract | ||
| Background: Among adolescent with heavy menstrual bleeding (HMB), there is a considerable number of adolescent who have bleeding tendency or bleeding disorders. This study aimed to discuss the pattern of menstruation and the management of the HMB in girls with bleeding disorders. Methods: In this retrospective study, we included girls aged 9-18 years old who had established bleeding tendency due to bleeding disorders in our pediatric hematology clinic. These girls were referred to the pediatrics gynecology clinic to reviews their pattern of menstruation and the treatment of their HMB. Results: Among 58 girls reviewed, 51 were included in our analysis, 34 of them were already had menarche. Among these post-menarcheal girls, 16 girls revealed HMB at menarche. The menstruation of girls with bleeding disorder related to defect in von Willebr and factor lasted more than seven days. The hormonal therapy was the first line of treatment of HMB; however, 50.9% of them failed the first line of treatment. Therefore, the second line of treatment, combined hormonal and non-hormonal therapy, was started for them. Conclusion: The risk of HMB after menarche is increased in young girls with bleeding disorders. Premenstrual counseling with pediatrics gynecologist and hematologist is recommended for young girls with bleeding disorders to discuss the pattern of menstrual bleeding and the possible treatment of the heady bleeding. | ||
| Keywords | ||
| Bleeding disorder; Patterns of menstruation; Heavy menstrual bleeding | ||
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