Gynecologic concerns in pubertal females with blood disorders

J Pediatr Adolesc Gynecol. 2013 Apr;26(2):80-5. doi: 10.1016/j.jpag.2012.07.001. Epub 2012 Oct 23.


Purpose of review: The incidence and prevalence of blood disorders varies depending on the underlying etiology, age, ethnicity, family history, and presence of comorbid medical conditions. Gynecologic problems occurring around puberty may cause stress to families and patients, as well as management challenges to providers.

Recent findings: Management strategies in the setting of bleeding disorders include hormonal and non-hormonal options to address problems occurring around puberty. Management strategies in the setting of clotting disorders allow providers to address common problems occurring in adolescence, while minimizing risk of venous thromboembolism.

Summary: Preparedness is important at this time of life, not only to prevent unwanted gynecologic complications or hospitalizations related to specific blood conditions, but also to identify problems related to reproductive care that may be exacerbated or complicated by an underlying blood disorder.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Blood Coagulation Disorders / complications
  • Blood Coagulation Disorders / drug therapy
  • Female
  • Genital Diseases, Female / complications*
  • Genital Diseases, Female / drug therapy
  • Hematologic Diseases / complications*
  • Hematologic Diseases / drug therapy
  • Humans
  • Menorrhagia / complications
  • Menorrhagia / drug therapy
  • Puberty*
  • Venous Thromboembolism / complications
  • Venous Thromboembolism / drug therapy