The Frequency of Menorrhagia and Bleeding Disorders in University Students

Gürsel, Türkiz; Bırı, Aydan; Kaya, Zühre; Sivaslioğlu, Selda; Albayrak, Meryem

doi:10.3109/08880018.2014.886316

Cited by 33 publications

(51 citation statements)

References 38 publications

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“…T3, T4, TSH estimation should be made mandatory in cases of dysfunctional uterine bleeding to detect apparent and occult hypothyroidism. 4 In studies by Trasi et al 5 Kadir et al 1 and Gursel et al 2 inherited coagulopathy accounted for 19.16%, 17% and 15% of cases of menorrhagia respectively. This is similar to our result of 18%.…”

Section: Discussionmentioning

confidence: 99%

“…Recent studies have shown that inherited bleeding disorder, especially in mild form, is the underlying cause in a large number of women with menorrhagia and the incidence may be as high as 15%. 2 Menorrhagia may ultimately lead to surgery. 3 therefore patient having menorrhagia without obvious pelvic pathology should be routinely studied to diagnose underlying endocrine and hemostatic disorders.…”

Section: Introductionmentioning

confidence: 99%

“…However, the bleeding may be due to undiagnosed coagulation defect. 2 endocrine disorder or systemic disease.…”

Section: Introductionmentioning

confidence: 99%

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Analysis of Causes of Menorrhagia in Patients With Normal Pelvic Pathology

C¹,

E²

2015

jemds

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OBJECTIVE: To find the incidence of systemic causes of menorrhagia with special emphasis on careful history taking, clinical examination and inclusion of simple blood tests to diagnose hemostatic disorders. METHOD: Thirty two women with menorrhagia of 15-45 years age, without any pelvic cause and treated from 1st January, 2011 to 31st December, 2011 were recruited for this study. After a detailed history and general examination all patients were subjected to blood tests for complete blood count, bleeding time, prothrombin time, activated partial thromboplastin time (aPTT) and serum T3, T4, TSH levels. Special tests were reserved, wherever applicable, to diagnose the cause of menorrhagia. Results were analyzed statistically by 2 x 2 chi square test. RESULTS: Hypothyroidism (25%) and inherited coagulopathy (18%) were the two most common nonpelvic causes of menorrhagia. Menorrhagia from menarche (P<0.001), bleeding from other sites (P=0.007), history of previous operative bleeding (P<0.001), and history of postpartum bleeding (P<0.001) were statistically significant in patients with underlying hemostatic disorders. CONCLUSION(S):A detailed history, clinical examination and simple blood tests can detect systemic causes of menorrhagia.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Analysis of Causes of Menorrhagia in Patients With Normal Pelvic Pathology

C¹,

E²

2015

jemds

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“…In our study, one case of a 12 year-old adolescent girl with moderate factor X deficiency (plasma factor 2 %) was referred to our clinic with a complaint of severe menorrhagia starting from just after menarche and when her detailed history was taken it was learnt that she had had severe gingival bleeding following a dental procedure. In a recent study, Gursel T et al studied 376 university students and 82 of them showed menorrhagia with a quantitative assessment of bleeding with PBAC and they found two patients with clotting factor deficiency: one of them with mild factor XI deficiency and the other with mild factor VII deficiency [21]. We think that our finding was different because the factor X deficiency is seen at a relatively higher frequency in our region than other parts of Turkey due to the high rates of parental consanguinity in the eastern part of Turkey.…”

Section: Discussionmentioning

confidence: 99%

“…Clotting factor deficiencies are the least common bleeding disorder, as a cause of menorrhagia. It is reported that the most common clotting deficiency is factor XI and it occurs in 1.0-11.9 % of women with menorrhagia [21]. In our study, one case of a 12 year-old adolescent girl with moderate factor X deficiency (plasma factor 2 %) was referred to our clinic with a complaint of severe menorrhagia starting from just after menarche and when her detailed history was taken it was learnt that she had had severe gingival bleeding following a dental procedure.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Hemostatic Disorders in Adolescent Girls with Menorrhagia: Experiences from a Tertiary Referral Hospital

Karaman

Ceylan

Karaman

et al. 2015

Indian J Hematol Blood Transfus

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Bleeding disorders are a common cause of menorrhagia in the adolescent age group. We aimed to evaluate the incidence of hemostatic disorders, using clinical and laboratory findings of bleeding disorders in adolescent girls with menorrhagia. A retrospective chart review used to evaluate adolescent girls with menorrhagia who were referred to Yuzuncu Yil University Pediatric Hematology clinic between January 2010 and December 2014. Out of 52 patients referred for investigation, 50 patients were included in the study. The mean age and mean menarche age were 14.8 ± 1.42 (range: 12-17) and 12.47 ± 0.55, respectively. In 42 % (n = 21) of patients, anemia was detected. In 22 % (n = 11) of patients, a bleeding disorder was detected: five cases with von Willebrand disease, two cases with acute immune thrombocytopenic purpura, one case with BernardSoulier syndrome, one case with Glanzmann thrombasthenia, one case with aplastic anemia and one case with factor X deficiency. The remaining 39 out of the 50 patients were finally diagnosed with dysfunctional uterine bleeding. When compared the patients with bleeding disorders and without bleeding disorders, bleeding from other sites, including gingival bleeding or epistaxis, low platelet counts and prolonged activated partial thromboplastin time were found statistically more frequent in patients with bleeding disorders (p \ 0.05). Menorrhagia in adolescents is frequently associated with underlying bleeding disorders. Adolescents with heavy menstrual bleeding and a history of nose or gingival bleeding should be evaluated for congenital bleeding disorders.

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Reflections on access to care for heavy menstrual bleeding: Past, present, and in times of the COVID‐19 pandemic

Henry

Filoche

2023

Intl J Gynecology & Obste

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The symptom of heavy menstrual bleeding (HMB) affects at least a quarter of reproductive‐age menstruators. However, given the variance in diagnosing the underlying causes, barriers, and inequity in access to care for HMB, and therefore reporting of HMB, this figure is likely to be a gross underestimate. HMB can have a detrimental impact on quality of life. From the limited reports available it is estimated that around 50%–80% of people with HMB do not seek care for this debilitating symptom, and for those that do, it may take years until the first treatment action. Almost half of those with HMB believe their condition is unworthy of treatment, that there is no treatment available, or that it is “normal”. The term “medical gaslighting” has recently been used to describe how healthcare professionals disregard people's symptoms. This has the ensuing effect of negatively compounding self‐doubt and embarrassment around menstrual bleeding, creating a cycle of diminished experience inhibiting further seeking of care. There is a scarcity of intervention studies informing increased access to care. Multilevel approaches are needed to increase access to care and support for those with HMB. During the COVID‐19 global pandemic, barriers to care access and support for HMB have been exacerbated and, given the significant pressures that this pandemic has placed on healthcare services worldwide, it will take many years to recover. In the meantime, it is crucial to ensure that medically “benign” conditions such as the symptom of HMB are not overlooked.

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The Frequency of Menorrhagia and Bleeding Disorders in University Students

Abstract: Menorrhagia is a common but mostly unrecognized and untreated problem among university students. Underlying bleeding disorders are not rare and require comprehensive hemostatic evaluation for identification.

Cited by 33 publications

References 38 publications

Analysis of Causes of Menorrhagia in Patients With Normal Pelvic Pathology

Analysis of Causes of Menorrhagia in Patients With Normal Pelvic Pathology

Evaluation of the Hemostatic Disorders in Adolescent Girls with Menorrhagia: Experiences from a Tertiary Referral Hospital

Reflections on access to care for heavy menstrual bleeding: Past, present, and in times of the COVID‐19 pandemic

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