This transcript has been edited for clarity.
Christopher J. Chiu, MD: Welcome back to The Cribsiders. This is our Medscape video recap of one of our recent podcast episodes. Justin, what are we reviewing today?
Justin L. Berk, MD, MPH, MBA: We had a fantastic conversation, Period Problems: Heavy Menstrual Bleeding, with our guest, Dr Angela Weyand, who is a pediatric hematologist with a focus on what she calls "shematology." Dr Weyand is an assistant professor and associate fellowship director of pediatric hematology at the University of Michigan, where she helps run a clinic devoted to caring for young women and girls with bleeding and clotting disorders. She was the perfect guest for this podcast, and she taught us about the diagnostic workup for heavy menstrual bleeding, treatment options, and why labs drawn in primary care might not be doing justice for the workup of bleeding disorders.
Chiu: How many adolescents presenting with heavy menstrual bleeding have an underlying bleeding disorder?
Berk: This was a great pearl from the episode that surprised me. Among average patients with heavy bleeding, about 20% will have some type of underlying bleeding disorder — about 1 in 5. The majority of those bleeding disorders are von Willebrand disease.
Heavy Menstrual Bleeding in Teens: A 'Shematologist's' Approach
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COMMENTARY
Heavy Menstrual Bleeding in Teens: A 'Shematologist's' Approach
Christopher J. Chiu, MD ; Justin L. Berk, MD, MPH, MBA
DisclosuresMarch 30, 2022
This transcript has been edited for clarity.
Christopher J. Chiu, MD: Welcome back to The Cribsiders. This is our Medscape video recap of one of our recent podcast episodes. Justin, what are we reviewing today?
Justin L. Berk, MD, MPH, MBA: We had a fantastic conversation, Period Problems: Heavy Menstrual Bleeding, with our guest, Dr Angela Weyand, who is a pediatric hematologist with a focus on what she calls "shematology." Dr Weyand is an assistant professor and associate fellowship director of pediatric hematology at the University of Michigan, where she helps run a clinic devoted to caring for young women and girls with bleeding and clotting disorders. She was the perfect guest for this podcast, and she taught us about the diagnostic workup for heavy menstrual bleeding, treatment options, and why labs drawn in primary care might not be doing justice for the workup of bleeding disorders.
Chiu: How many adolescents presenting with heavy menstrual bleeding have an underlying bleeding disorder?
Berk: This was a great pearl from the episode that surprised me. Among average patients with heavy bleeding, about 20% will have some type of underlying bleeding disorder — about 1 in 5. The majority of those bleeding disorders are von Willebrand disease.
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Cite this: Heavy Menstrual Bleeding in Teens: A 'Shematologist's' Approach - Medscape - Mar 30, 2022.
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Authors and Disclosures
Authors and Disclosures
Authors
Christopher J. Chiu, MD
Assistant Professor, Department of Internal Medicine, Division of General Internal Medicine, Ohio State University School of Medicine; Lead Physician, General Internal Medicine, OSU Outpatient Care East; Department of Internal Medicine, Division of General Internal Medicine, Ohio State University Wexner Medical Center, Columbus, Ohio
Disclosure: Christopher J. Chiu, MD, has disclosed no relevant financial relationships.
Justin L. Berk, MD, MPH, MBA
Assistant Professor, Department of Medicine; Assistant Professor, Department of Pediatrics, Warren Alpert School of Medicine, Brown University, Providence, Rhode Island
Disclosure: Justin L. Berk, MD, MPH, MBA, has disclosed no relevant financial relationships.