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Am J Obstet Gynecol. 2012 Oct;207(4):269.e1-5. doi: 10.1016/j.ajog.2012.07.010. Epub 2012 Jul 16.

Evaluation of bleeding disorders in women with menorrhagia: a survey of obstetrician-gynecologists.

Author information

1
Division of Blood Disorders, National Center on Birth Defects and Developmental Disabilities (NCBDDD), Centers for Disease Control and Prevention, Atlanta, GA, USA.

Abstract

OBJECTIVE:

To better understand the current evaluation of unexplained menorrhagia by obstetrician-gynecologists and the extent to which a bleeding disorder diagnosis is being considered in this population.

STUDY DESIGN:

A total of 1200 Fellows and Junior Fellows of the American College of Obstetricians and Gynecologists were invited to participate in a survey on blood disorders. Respondents completed a questionnaire regarding their patient population and their evaluation of patients with unexplained menorrhagia.

RESULTS:

The overall response rate was 42.4%. Eighty-two percent of respondents reported having seen patients with menorrhagia caused by a bleeding disorder. Seventy-seven percent of physicians reported they would be likely or very likely to consider a bleeding disorder as causing menorrhagia in adolescent patients; however, only 38.8% would consider bleeding disorders in reproductive age women.

CONCLUSION:

The current data demonstrate that obstetrician-gynecologists seem to have a relatively high awareness of bleeding disorders as a potential underlying cause of menorrhagia.

PMID:
22901979
PMCID:
PMC4410699
DOI:
10.1016/j.ajog.2012.07.010
[Indexed for MEDLINE]
Free PMC Article

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