Grand Rounds: Heavy Menstrual Bleeding in Pediatric and Adolescent & Young Adult (AYA) Patients — A Pediatric Hematology Perspective

Pediatric Grand Rounds: Heavy Menstrual Bleeding in Pediatric and Adolescent & Young Adult (AYA) Patients — A Pediatric Hematology Perspective Speaker: Victoria E. Lehrmann, MD Holly Wayment presents a Pediatrics Now Grand Rounds on evaluating heavy menstrual bleeding in adolescents: defining normal vs abnormal bleeding, recognizing red flags for inherited bleeding disorders, and reviewing common hematologic causes such as von Willebrand disease, platelet dysfunction, and hemophilia/carrier states. The episode covers practical diagnostic tools (ISTH-BAT, PBAC), initial labs (pregnancy test, CBC, PT/PTT, fibrinogen, ferritin, and VWD testing), and interpretation caveats, plus acute and long-term management strategies (stabilization, hormonal therapy, tranexamic acid, iron repletion, IUDs) and the importance of multidisciplinary care.