When should a diagnosis of menorrhagia be considered?

Updated: Dec 20, 2018
  • Author: Julia A Shaw, MD, MBA, FACOG; Chief Editor: Michel E Rivlin, MD  more...
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Answer

According to an international expert panel, an underlying bleeding disorder should be considered when a patient has any of the following:

  • Menorrhagia since menarche

  • Family history of bleeding disorders

  • Personal history of 1 or more of the following: (1) Notable bruising without known injury, (2) bleeding of the oral cavity or gastrointestinal tract without an obvious lesion, or (3) epistaxis of more than 10 minutes’ duration (possibly necessitating packing or cautery)

See Clinical Presentation for more detail.


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