Characterizing adolescents with heavy menstrual bleeding and generalized joint hypermobility | Zendy

Kendel Nicole E. | Zendy; Haamid Fareeda W. | Zendy; ChristianRancy Myra | Zendy; O'Brien Sarah H. | Zendy

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Characterizing adolescents with heavy menstrual bleeding and generalized joint hypermobility

Author(s) -

Kendel Nicole E.,

Haamid Fareeda W.,

ChristianRancy Myra,

O'Brien Sarah H.

Publication year - 2019

Publication title -

pediatric blood and cancer

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.116

H-Index - 105

eISSN - 1545-5017

pISSN - 1545-5009

DOI - 10.1002/pbc.27675

Subject(s) - medicine , menarche , menstrual bleeding , referral , specialty , joint hypermobility , retrospective cohort study , hypermobility (travel) , pediatrics , physical therapy , obstetrics , family medicine

Patients with generalized joint hypermobility (JHM) may experience excessive bruising/bleeding, with heavy menstrual bleeding (HMB) commonly reported. We performed a retrospective review of 30 adolescents seen in a Young Women's Hematology Clinic with both HMB and JHM. We found that (1) a significant delay (mean 36 months, range 5–72) occurred between menarche and referral to specialty care, (2) HMB had moderate to severe impact on school and physical activities in 60% of patients, and (3) most patients (68%) required escalation of their initial therapy. We suggest providers consider JHM as a risk factor for a more complex clinical course.

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