title: Evaluation and management of acute menorrhagia in women with and without underlying bleeding disorders: consensus from an international expert panel.
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.
authors.affiliation: Women's Hemostasis and Thrombosis Clinic, Duke University Medical Center, Durham, NC, USA. james031@mc.duke.edu
authors.forename: Andra H
authors.initials: AH
authors.lastname: James
authors.forename: Peter A
authors.initials: PA
authors.lastname: Kouides
authors.forename: Rezan
authors.initials: R
authors.lastname: Abdul-Kadir
authors.forename: Jennifer E
authors.initials: JE
authors.lastname: Dietrich
authors.forename: Mans
authors.initials: M
authors.lastname: Edlund
authors.forename: Augusto B
authors.initials: AB
authors.lastname: Federici
authors.forename: Susan
authors.initials: S
authors.lastname: Halimeh
authors.forename: Pieter Willem
authors.initials: PW
authors.lastname: Kamphuisen
authors.forename: Christine A
authors.initials: CA
authors.lastname: Lee
authors.forename: Oscar
authors.initials: O
authors.lastname: Martínez-Perez
authors.forename: Claire
authors.initials: C
authors.lastname: McLintock
authors.forename: Flora
authors.initials: F
authors.lastname: Peyvandi
authors.forename: Claire
authors.initials: C
authors.lastname: Philipp
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Wilkinson
authors.forename: Rochelle
authors.initials: R
authors.lastname: Winikoff
mesh_terms: D000208:Acute Disease; D005260:Female; D006402:Hematologic Diseases / Q000150:complications; D006801:Humans; D008595:Menorrhagia / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*