Undiagnosed bleeding disorders put women at risk of acute hemorrhages that can lead to blood transfusions and the need for hysterectomy, cautions hematologist Paula James
There are also social stigmas against an open discussion about periods that can be difficult to overcome. And there is a lack of accurate information about normal versus abnormal periods.
Iron deficiency and heavy periods are too often ignored but can be signs of an underlying bleeding disorder. Both are easily treated once the diagnosis is made.Women who are carriers of haemophilia are very often considered to be “only carriers” — capable of passing on a mutant gene to their children. They may be told this by their doctor. Their bleeding then often goes untreated because of this misconception.
Gynaecologic options such as the levonorgestrel intrauterine device and endometrial ablation also exist.In rare cases, women with bleeding disorders require clotting factor infusions to control heavy periods. If iron deficient, iron supplementation is a key component of treatment as it improves quality of life. Dietary iron intake alone is not enough to correct iron deficiency, particularly once it has caused anaemia.
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