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Congenital or acquired bleeding disorders can often go unrecognised in most women and have social and medical consequences at every stage of their lives. Abnormal vaginal bleeds, heavy menstruation, or bleeding between periods can lead to anaemia and fatigue, putting the affected women at a greater health risk. Additionally, women with blood disorders have a higher susceptibility to blood clots, which can greatly impact their gynaecological and overall health.
Adolescents or women over the age of 18 dealing with bleeding or clotting disorders require comprehensive gynaecological care for the management of anticoagulation, heavy menstrual bleeding, and contraception. Personalised treatment approaches with menstrual suppression or contraception with implants or intrauterine devices may be needed to address their issues. Additionally, we provide ongoing support to pregnant women with haematological disorders before, during, and after pregnancy. If you are looking for the best Lady Gynecologist in Dhakuria, visit Manipal Hospitals.
Our expert haematologists and gynaecologists at Manipal Hospitals, Dhakuria, West Bengal, work closely to offer holistic care for women with blood disorders and ensure their improved safety and quality of life.
An inherited bleeding disorder is a type of clotting disorder where the platelets that form blood clots are abnormal or sticky and the clotting factors are abnormal, reduced, or absent. As a result, the affected individual continues to bleed and lose blood.
Even though the condition can affect men, women, and children, women can develop heavy bleeding during menstruation, pregnancy, or childbirth.
Von Willebrand disease is a common blood disorder that affects men and women equally. However, women have the added risk of bleeding heavily during menstruation or after giving birth.
Heavy bleeding during menstruation
The bleeding may last for 7 days or more
Passing of large clots similar to the size of a grape during menstruation
Women with heavy bleeds may need to change their pads or tampons every hour
Some women can experience the gushing of blood, which can interrupt their daily routine
Other symptoms include:
Easy bruising with minimal or no injury
Nosebleeds that develop for no apparent reason and last longer
Excessive bleeding after a surgical intervention
Bleeding from cuts lasting longer than 5 minutes
If you or your loved one experience any of the symptoms listed above or have a family history of bleeding disorders, you must get tested immediately.
Most women carry the genetic changes related to haemophilia but do not exhibit any symptoms. However, some women who have lower factor levels are at risk of developing mild haemophilia.
Pregnancy increases the risk of developing blood clots. The risk becomes even more pronounced if there is a family history. Blood clots formed during pregnancy interrupt the blood flow to vital organs, including the placenta. As a result, the foetus does not get enough oxygen and nutrients for its healthy development.
Natural hormonal changes that occur in the body before, during, or three months post-pregnancy increase the woman’s susceptibility to developing blood clots. During pregnancy, the tendency of the blood to clot increases to reduce blood loss during delivery. Also, additional factors like a reduction in blood flow to the legs caused by increased pressure on the pelvic vessels by the growing baby or restricted movements during pregnancy can contribute to the development of blood clots.
Personal and family history are important diagnostic tools for identifying blood and clotting disorders. Additionally, your doctor may prescribe blood tests that measure your blood count or iron levels, screening tests to check if your blood is clotting properly, and tests to measure your clotting factor levels.
Blood disorders, especially those that are inherited, cannot be cured, but treatments are available to control their symptoms and manage bleeding.
Hormonal Therapies: Medications containing female hormones (oestrogens and progesterone) are used as a treatment for women dealing with heavy menstruation or gynaecological bleeding.
Medications: Desmopressin helps treat haemophilia A and Von Willebrand factor by increasing the clotting factor. Antifibrinolytics help stop the bleeding by preventing the breakdown of clots.
Clotting Factor Concentrates: Different clotting factor concentrates are available for treating bleeding disorders. These clotting factors are administered intravenously and help replace deficient or missing clotting factors, therefore helping to prevent or treat bleeding disorders.
Iron Supplements: Iron supplements must be taken every other day to boost iron absorption. If the condition fails to improve, an intravenous infusion of iron may be necessary.
There can be negative implications for the health of the affected women. As a result of excessive bleeding, she may face the following challenges:
Anaemia, which may cause excessive fatigue
Bleeding from other body parts, such as the head, joints, or ovaries
Surgical interventions like Hysterectomy may be needed to control heavy bleeds
As a result, women with untreated blood disorders have a poor quality of life and poor health.
Heavy bleeding during menstruation can be one of the indicators of bleeding disorders. However, other factors also cause heavy bleeding during menstruation, such as:
Medical conditions: Heavy bleeding during menstruation can be a sign of a thyroid disorder or fibroids.
Reproductive issues: You may not ovulate due to abnormal hormonal balance, resulting in excessive build-up of the uterine lining and causing heavy bleeds when the uterine lining disintegrates.
Medications: Taking anti-inflammatory medications or blood thinners can cause heavy bleeding during periods.
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