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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
Abstract 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.