Adolescents who have bleeding disorders are more likely to experience abnormal reproductive tract bleeding, particularly menorrhagia or heavy menstrual bleeding. Even though most abnormal reproductive tract bleeding in adolescents is not attributable to a bleeding disorder, adolescents with abnormal reproductive tract bleeding are more likely to have an underlying bleeding disorder. After proper evaluation, most abnormal reproductive tract bleeding in adolescents can be managed hormonally, with the addition of hemostatic therapies when necessary.