Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Variances in Adults, Teens with Heavy Menstruation

Haemophilia; ePub 2017 Sep 5; Srivaths, et al

The bleeding phenotypes of adolescent females with heavy menstrual bleeding differ from those of their adult counterparts, according to a study involving 269 individuals. Participants—from the CDC’s Female Universal Data Collection surveillance project—were either postmenarchal adolescents (n=79) or premenopausal adults (n=190) with heavy menstrual bleeding and bleeding disorders. Investigators looked at bleeding phenotype and provider interventions in each group.

Compared to teens, adults were:

  • Twice as likely to experience bleeding with dental procedures.
  • More than twice as likely to have a family history of bleeding, have delayed bleeding, and experience anemia.
  • More than 4 times as likely to experience GI bleeding.
  • More likely to undergo gynecologic procedures/surgery.
  • Less likely to use desmopressin.

Citation:

Srivaths L, Zhang Q, Byams V, et al. Differences in bleeding phenotype and provider interventions in postmenarchal adolescents when compared to adult women with bleeding disorders and heavy menstrual bleeding. [Published online ahead of print September 5, 2017]. Haemophilia. doi:10.1111/hae.13330.