Women's Health USA 2003

Text: Maternal and Child Health Bureau

HEALTH STATUS-Health Indicators

 37

 


BLEEDING DISORDERS

Bleeding disorders occur when blood platelets (blood cells) do not work correctly, which can hinder blood clotting and make it more difficult for the body to stop bleeding. The most common bleeding disorder among females is von Willebrand Disease (vWD). vWD affects up to 4 million Americans, half of whom are female.1 Typical symptoms are heavy menstrual periods (menorrhagia), easy bruising, frequent nosebleeds, and prolonged bleeding after minor injuries, surgery, childbirth, or dental work.

The American College of Obstetricians and Gynecologists recommends that females who have heavy menstrual periods be screened for vWD, and that hysterectomy for menorrhagia should not be performed without testing for vWD.2 A diagnosis of vWD requires taking a personal medical history, family medical history, and conducting laboratory tests. Effective treatments are available, allowing affected persons to live a normal life.

The 134 Federally-funded Hemophilia Treatment Centers are medical facilities with healthcare providers who are experts in diagnosing and treating bleeding disorders. From 1996 to 2001 the number of females enrolled in Hemophilia Treatment Centers increased from 4,818 to 7,853.


Females (All Ages) with Bleeding Disorders Treated at Hemophilia Treatment Centers, 1996-2001 [d]


1Rodeghiero F, Castaman G, Dini E. Epidemiological investigation of the prevalence of Von Willebrand's Disease. Blood; 69:454-459. 1987. [Back to Text]

2American College of Obstetricians and Gynecologists Committee Opinion No. 263 Von Willebrand Disease in Gynecologic Practice. Obstet Gynecol; 98;1185-1186. 2001. [Back to Text]


  Logo: Maternal and Child Health Bureau, Health Resources and Services Administration, U.S. Department of Health and Human ServicesLogo: U.S. Department of Health and Human Services