Clinical Spotlight for Primary Care: Five Things to Know About Women and Girls with Bleeding Disorders

Authors

  • Kelsey Uminski, MD Division of Hematology and Hematologic Malignancies, University of Calgary, Calgary, Alberta, Southern Alberta Rare Blood and Bleeding Disorders Comprehensive Care Program, Calgary, Alberta
  • MacGregor Steele, MD Division of Hematology and Hematologic Malignancies, University of Calgary, Calgary, Alberta, Southern Alberta Rare Blood and Bleeding Disorders Comprehensive Care Program, Calgary, Alberta
  • Ellen Cusano, MD Division of Hematology and Hematologic Malignancies, University of Calgary, Calgary, Alberta, Southern Alberta Rare Blood and Bleeding Disorders Comprehensive Care Program, Calgary, Alberta

DOI:

https://doi.org/10.58931/cpct.2025.3245

Abstract

Although common, HMB is often an underrecognized symptom, and affects up to 39% of individuals diagnosed with a bleeding disorder. Taking a structured medical history is key. Tools such as the Pictorial Blood Assessment Chart and the Menorrhagia Screening Tool can aid in identifying HMB. Screening for iron deficiency, even in the absence of anemia, is essential, as low iron can impact cognition, energy, and quality of life.

References

Comishen KJ, Bhatt M, Yeung K, Irfan J, Zia A, Sidonio RF Jr, James P. Etiology and diagnosis of heavy menstrual bleeding among adolescent and adult patients: a systematic review and meta-analysis of the literature. J Thromb Haemost. 2025;23(3):863-876. doi: 10.1016/j.jtha.2024.11.014. DOI: https://doi.org/10.1016/j.jtha.2024.11.014

Higham JM, O’Brien PM, Shaw RW. Assessment of menstrual blood loss using a pictorial chart. Br J Obstet Gynaecol. 1990;97(8):734-739. doi: 10.1111/j.1471-0528.1990.tb16249.x. DOI: https://doi.org/10.1111/j.1471-0528.1990.tb16249.x

Philipp CS, Faiz A, Dowling NF, Beckman M, Owens S, Ayers C, Bachmann G. Development of a screening tool for identifying women with menorrhagia for hemostatic evaluation. Am J Obstet Gynecol. 2008;198(2):163.e1-163.e1638. doi: 10.1016/j.ajog.2007.08.070. DOI: https://doi.org/10.1016/j.ajog.2007.08.070

VanderMeulen H, Tang GH, Sholzberg M. Tranexamic acid for management of heavy vaginal bleeding: barriers to access and myths surrounding its use. Res Pract Thromb Haemost. 2024;8(3):102389. doi: 10.1016/j.rpth.2024.102389. DOI: https://doi.org/10.1016/j.rpth.2024.102389

Rodeghiero F, Tosetto A, Abshire T, Arnold DM, Coller B, James P, et al. ISTH/SSC bleeding assessment tool: a standardized questionnaire and a proposal for a new bleeding score for inherited bleeding disorders. J Thromb Haemost. 2010;8(9):2063-2065. doi: 10.1111/j.1538-7836.2010.03975.x. DOI: https://doi.org/10.1111/j.1538-7836.2010.03975.x

Published

2025-08-26

How to Cite

1.
Uminski K, Steele M, Cusano E. Clinical Spotlight for Primary Care: Five Things to Know About Women and Girls with Bleeding Disorders. Can Prim Care Today [Internet]. 2025 Aug. 26 [cited 2025 Sep. 6];3(2):26–27. Available from: https://canadianprimarycaretoday.com/article/view/3-2-Uminski_et_al

Issue

Section

Articles