Heavy Menstrual Bleeding, Improving Knowledge, Improving Lives
Coagulation disorders as cause of Heavy Menstrual Bleeding



  • Systemic disorders of hemostasis that can contribute to heavy menstrual bleeding (i.e. hemophilia, von Willebrand disease)



  • Heavy menstrual bleeding since menarche History of hemorrhage (after delivery, during surgery or dental work), easy bruising, epistaxis, gum bleeding
  • Family history of bleeding problems



  • Structured medical history can identify coagulopathy in approximately 90% of cases



  • Multidisciplinary approach recommended
  • Treatment often involves tranexamic acid usually in combination with hormonal treatments. NSAIDs should not be prescribed
  • Surgical treatment may be required in refractory cases

Coagulopathy Library

Find more information and download materials on coagulopathy in the teaching and resources library.


  1. Bacon JL, et al. Obstet Gynecol Clin North Am 2017;44:179–93.
  2. Singh S, et al. J Obstet Gynaecol Can 2013;35(5_eSuppl):S1–S28.
  3. Kouides PA, et al. Fertil Steril 2005;84:1345–51.
  4. Whitaker L and Critchley HOD. Best Pract Res Clin Obstet Gynecol 2016;34:54–65.

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