Boston Hemophilia Center | Young Women with Bleeding Clinic

The Young Women with Bleeding Clinic is a multidisciplinary clinic including the specialties of Hematology, Adolescent Medicine, and Gynecology. Our clinic is designed to offer a collaborative approach to the diagnosis and management of heavy menstrual bleeding in young women.

Comprehensive assessment includes the convenience of gynecologic, hematologic, medical, and psychosocial evaluation all in one visit. We have expertise in assessing, diagnosing, and managing the various etiologies for heavy, prolonged, or irregular menses, while additionally addressing sexual- and reproductive-health issues, including dysmenorrhea, contraception options, and sexually transmitted infections.

We offer the following services at the clinic:

• physical exams
• laboratory and radiologic assessment
• hormonal therapy
• IUD insertion
• pelvic/gynecology exams (if warranted)
• transfusions (iron, blood products)
• hemostatic therapy
• social services

Menstrual disorders and abnormal uterine bleeding are among the most frequent gynecologic complaints in adolescents and young adults. While it is common for girls to have irregular menstrual cycles, it is also important to consider other systemic, hematologic, and gynecologic causes of bleeding.

We provide care for adolescents or young girls:

• with heavy or prolonged menstrual bleeding, especially from their first period, lasting more than seven days every month, or irregular cycles
• with persistent heavy menstrual bleeding or cramping despite being on hormonal medications
• who required an emergency room visit or hospitalization due to symptoms associated with prolonged or heavy menstrual bleeding
• who required treatment for anemia (low red-cell count) or iron deficiency due to heavy menstrual bleeding
• who have a personal or family history of a bleeding disorder, such as von Willebrand Disease, hemophilia, platelet dysfunction, or rare factor deficiency or abnormal bleeding symptoms
• who have a personal family history of blood clots or need for anticoagulation