Here are 7 tips to remember when you assess patients for problems with their menses.
Even in the first year of menarche, most girls have a period every 90 days. Work up those that don’t.
Teenagers with heavy bleeding should be screened for a bleeding disorder with at least a complete blood count (CBC), ferritin, and thyroid-stimulating hormone level.
The most common bleeding disorders associated with heavy menstrual bleeding include platelet function disorders and von Willebrand disease.