Certain bleeding disorders occur equally in men and women. However, women are more likely to have symptoms (heavy periods, bleeding with childbirth). More than 600,000 hysterectomies are performed each year in the U.S., 30 percent of which are done primarily for heavy bleeding. Diagnosis of a bleeding disorder could prevent some of these surgeries. These disorders may affect a woman’s quality of life due to decreased physical activity, depression, low self-esteem and a feeling of isolation.

Types of bleeding disorders in women:

• Von Willebrand disease (affects 1-2 percent of the population)
• Symptomatic carrier of hemophilia
• Other factor deficiencies
• Platelet disorders
• Connective tissue disorders

Symptoms of women with bleeding disorders:

• Heavy or prolonged periods (more than seven days; changing pad/tampon every one to two hours)
• Easy bruising
• Lengthy and frequent nose bleeds
• Prolonged or unusual bleeding with injury, surgery, childbirth or dental work
• Unusual gum bleeding

Evaluating your bleeding disorder

Patient and family histories are the most important factors in making a diagnosis. Lab tests are also used. However, a precise diagnosis may be challenging because stress and hormones can affect some test results. Lab tests should be done at a hematologist’s office.

If you have some or all of these symptoms, you should consult with your primary clinic or call the Hemophilia & Thrombosis Center.

Treatment options (depending on the type, severity and symptoms of disorder) include:

• Hormones
• Amicar (aminocaproic acid)
• DDAVP/ Stimate nasal spray
• Factor concentrates
• Blood or platelet transfusions
• Surgery