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


METHODS
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.


CONCLUSIONS
The current data demonstrate that obstetrician-gynecologists seem to have a relatively high awareness of bleeding disorders as a potential underlying cause of menorrhagia.
Division of Blood Disorders, National Center on Birth Defects and Developmental Disabilities (NCBDDD), Centers for Disease Control and Prevention, Atlanta, GA, USA.
Vanessa R
VR
Byams
Britta L
BL
Anderson
Althea M
AM
Grant
Hani
H
Atrash
Jay
J
Schulkin
D000293:Adolescent; D000328:Adult; D001778:Blood Coagulation Disorders / Q000150:complications* / Q000175:diagnosis; D005260:Female; D006176:Gynecology; D019538:Health Care Surveys; D006801:Humans; D008595:Menorrhagia / Q000175:diagnosis / Q000209:etiology*; D009774:Obstetrics; D010818:Practice Patterns, Physicians'; D011795:Surveys and Questionnaires