Evaluation and management of acute menorrhagia in women with and without underlying bleeding disorders: Consensus from an international expert panel

Andra H. James, Peter A. Kouides, Rezan Abdul-Kadir, Jennifer E. Dietrich, Mans Edlund, Augusto B. Federici, Susan Halimeh, Pieter Willem Kamphuisen, Christine A. Lee, Oscar Martínez-Perez, Claire McLintock, Flora Peyvandi, Claire Philipp, Jeffrey Wilkinson, Rochelle Winikoff

Research output: Contribution to journalArticlepeer-review

Abstract

Acute menorrhagia is a common gynecological disorder. Prevalence is high among women with inherited bleeding disorders and recent guidance for optimal management is lacking. Following a comprehensive review of the literature, an international expert panel in obstetrics, gynecology and hematology reached consensus on recommendations regarding the management of acute menorrhagia in women without a diagnosed bleeding disorder, as well as in patients with von Willebrand disease, platelet function disorders and other rare hemostatic disorders. The causes and predictors of acute menorrhagia are discussed and special consideration is given for the treatment of women on anticoagulation therapy. This review and accompanying recommendations will provide guidance for healthcare practitioners in the emergency management of acute menorrhagia.

Original languageEnglish
Pages (from-to)124-134
Number of pages11
JournalEuropean Journal of Obstetrics and Gynecology and Reproductive Biology
Volume158
Issue number2
DOIs
Publication statusPublished - Oct 2011

Keywords

  • Acute menorrhagia
  • Bleeding disorder
  • Coagulation factor
  • Consensus
  • Hemostasis management

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Reproductive Medicine

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