The evaluation of bleeding diathesis in adolescents with heavy menstrual bleeding

Abstract

Heavy menstrual bleeding is defined as bleeding longer than 7 days or more than 80 ml blood loss per cycle. It causes decreased quality of life with reluctance in participating in social and physical activities, school absenteeism in addition to iron deficiency anemia. As the most frequent cause is anovulatory cycles linked to the immature hypothalamic-pituitary axis, the second common cause is an underlying bleeding disorder.