Girls and Teens with Heavy Menstrual Bleeding Are Seldom Screened for von Willebrand Disease

Checking for a bleeding disorder is clearly warranted in this population.

Von Willebrand disease occurs in up to 20% of girls and teens with heavy menstrual bleeding (HMB), and the American College of Obstetricians and Gynecologists has recommended screening since 2001; but how often does such screening actually happen? Investigators conducted a retrospective cohort study using a national claims database. HMB was defined based on standard codes; severe HMB also included iron deficiency anemia and necessity of hospitalization or blood transfusion.

Among 24,000 girls and teens (age range, 10–17 years) with diagnoses of HMB, 986 had severe HMB. First visits with a clinician for HMB typically involved obstetrician-gynecologists (28%) and family practitioners (13%). Von Willebrand disease screening was performed in onl…

Reviewing Author

Robert W. Rebar, MD

Disclosures

Consultant/Advisory BoardMyovant Sciences, Inc.

Editorial BoardsEndoText; Clinical OB/GYN Alert

Leadership Positions in Professional SocietiesAmerican Society for Reproductive Medicine (Member, Ethics Committee)

Robert W. Rebar, MD

Disclosures

Consultant/Advisory BoardMyovant Sciences, Inc.

Editorial BoardsEndoText; Clinical OB/GYN Alert

Leadership Positions in Professional SocietiesAmerican Society for Reproductive Medicine (Member, Ethics Committee)

Girls and Teens with Heavy Menstrual Bleeding Are Seldom Screened for von Willebrand Disease

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Reviewing Author