Clinic for Young Women with Bleeding Disorders
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Expert Care for Young Women with Bleeding Disorders
The Clinic for Young Women with Blood Disorders at Orlando Health Arnold Palmer Hospital for Children specializes in the diagnosis and treatment of bleeding and clotting disorders in adolescent girls.
The goal of this comprehensive clinic is to address the critical issues faced by young women struggling to find an accurate diagnosis and appropriate management for heavy menstrual bleeding or a predisposition to blood clotting. Our multidisciplinary team of expert clinicians offer individualized diagnostic and management services in hematology and adolescent medicine in one location.
Our clinic is dedicated exclusively to young women up to 21 years of age. Our team is experienced at treating a wide variety of conditions, including:
- Heavy menstrual bleeding
- Symptomatic carriers of hemophilia
- Irregular menstrual periods as well as other menstrual issues
- Von Willebrand disease
- Platelet disorders
- Other rare bleeding disorders
Up to 1% of women in the United States have a bleeding disorder and many do not know it.
A bleeding disorder results from a flaw in the blood clotting system. Some bleeding disorders are inherited, meaning they are passed down from parent to child. However, bleeding disorders can also occur spontaneously, without any history of bleeding problems in other family members.
You may have a bleeding disorder if you have one of more of the following symptoms:
- Heavy menstrual periods, including:
- Bleeding longer than seven days
- Flooding or gushing blood
- Passing coin-sized clots
- Changing pad/tampon every two hours or more frequently at any point
- Frequent prolonged nosebleeds (longer than 10 minutes)
- Prolonged bleeding from cuts (longer than five minutes)
- Easy or excessive bruising
- You have been treated for anemia or told that you are “low in iron”
- You have experienced heavy bleeding from surgery, including dental procedures
- Someone in your family has a bleeding disorder or several of the above symptoms
Types of bleeding disorders include:
- Von Willebrand Disease (VWD) is the most common bleeding disorder
- Factor deficiencies: VIII (Hemophilia A) & Factor IX (Hemophilia B) are the most common
- Platelet disorders
- Connective tissue disorders, including Ehlers-Danlos Syndrome
- What is referred to in medical literature as “bleeding without identified cause”
A blood clotting disorder, often known as thrombophilia, results when there is an increased tendency for the blood to clot.
Like hemophilia or VWD, some forms of thrombophilia are also caused by an abnormality or deficiency in a blood clotting factor. Blood clotting disorders can be inherited and passed down from parent to child.
These conditions pose added difficulties for young women because of the possibility of reproductive issues. There can be serious problems for women with clotting disorders who use certain oral contraceptives (also referred to as hormonal therapy) even during adolescence.
You may have a clotting disorder if:
- A family member under the age of 40 has been diagnosed with a blood clot or stroke
- A relative has had three or more miscarriages
- Someone in your family already has a diagnosis of thrombophilia or a clotting disorder
Types of clotting disorders include:
- Factor V Leiden is the most common inherited clotting disorder, largely affecting caucasians of European decent
- Prothrombin gene mutation (factor II)
- Protein C deficiency
- Protein S deficiency
- Anti-thrombin deficiency
Who We See
We see adolescent girls up to 21 years of age with:
- Heavy or prolonged menstrual bleeding with or without a bleeding disorder
- Abnormal uterine bleeding (timing, duration, flow) causing symptomatic anemia/iron deficiency
- Thrombophilia patients (personal or family history) seeking hormonal therapy
- Severe dysmenorrhea with chronic illness, including cancer and sickle cell disease
- Pre-menarche girls (older than 10 years old) with a personal or family history of a bleeding disorder
We provide the following:
- Diagnosis and treatment of bleeding and clotting disorders
- Reproductive health consultation
- Hormone therapy consultation, with possibility of in-office IUD placement
- Access to the resources of our Hemophilia Treatment Center, including nursing, social work, physical therapy and pharmacy
Why Choose Orlando Health Arnold Palmer Hospital for Children
When you choose the Clinic for Young Women with Bleeding Disorders at Orlando Health Arnold Palmer, you can be confident in receiving the top care from an expert team.