title: Gynecologic concerns in pubertal females with blood disorders.
abstract: OBJECTIVE
  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.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Section of Pediatric Hematology, Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA.
authors.forename: Lakshmi
authors.initials: L
authors.lastname: Venkateswaran
authors.forename: Jennifer E
authors.initials: JE
authors.lastname: Dietrich
mesh_terms: D000293:Adolescent; D001778:Blood Coagulation Disorders / Q000150:complications / Q000188:drug therapy; D005260:Female; D005831:Genital Diseases, Female / Q000150:complications* / Q000188:drug therapy; D006402:Hematologic Diseases / Q000150:complications* / Q000188:drug therapy; D006801:Humans; D008595:Menorrhagia / Q000150:complications / Q000188:drug therapy; D011627:Puberty; D054556:Venous Thromboembolism / Q000150:complications / Q000188:drug therapy