#280 Heavy Menstrual Bleeding, Anticoagulation & Coagulopathy in Menstruating Patients

The Curbsiders Internal Medicine Podcast

Education, Medicine, Higher Education, Science, Health & Fitness

4.8 • 3.3K Ratings

🗓️ 21 June 2021

⏱️ 62 minutes

🔗️ Recording | iTunes | RSS

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Summary

Explore the intersection of hematology and women’s health as we discuss heavy menstrual bleeding (HMB), gynecologic risks of therapeutic anticoagulation, and prescribing contraception in the setting of venous thromboembolic disease.

Wondering how to expand your women’s health knowledge as an internist? Listen as our insightful guest Dr. Bethany Samuelson Bannow @bsamuelson_md (Oregon Health & Science University) helps us navigate the intersections between non-malignant hematology and menstrual health. This episode will empower you to tackle the stigma and overcome knowledge gaps with regard to abnormal menstrual bleeding, as well as learn treatment, and management pearls. We also explore the intersection between therapeutic anticoagulation, heavy menstrual bleeding, and thromboembolic disease of different contraceptive options. Finally, we face the themes of overcoming sexism, and even misogyny, in women’s health head-on throughout this episode. After all, half the population has a uterus.

Claim Free CE credit for this episode through VCU Health CE at http://curbsiders.vcuhealth.org/

Credits

Written and Produced by: Avital O’Glasser MD, FACP, FHM
Infographic: Avital O’Glasser MD, FACP, FHM
Cover Art : Kate Grant MBChB MRCGP DipGUMed
Show Notes: Kate Grant MBChB MRCGP DipGUMed, Maddie Morgan, and Avital O’Glasser MD, FACP, FHM
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Avital O’Glasser MD, FACP, FHM
Reviewer: Carolyn Chan, MD
Editor: Matthew Watto MD, FACP (written materials); Clair Morgan of nodderly.com
Guest: Bethany Samuelson Bannow, MD

Sponsor: Birch by Helix birchliving.com/curb

Sponsor: Green Chef GreenChef.com/curb100

CME Partner: VCU Health CE
The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit. See info sheet for further directions. Note: A free VCU Health CloudCME account is required in order to seek credit.

Show Segments

Intro, disclaimer, guest bio
Guest one-liner
Case 1 from Kashlak
Definitions related to menstrual health
Quantifying/defining heavy menstrual bleeding
Overcoming stigma of asking about menstrual history/health
Clinical evaluation/management of the patient with heavy menstrual bleeding
Case 2 from Kashlak
Risk of heavy menstrual bleeding (HMB) in the setting of therapeutic anticoagulation
Hormonal and nonhormonal therapy options for HMB while anticoagulated
Contraception options for someone who develops VTE
Case 3 from Kashlak
Counseling about VTE risk of different contraception options
Take Home Points; Outro; Bonus clip

Transcript

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0:00.0	The Curbsiders podcast is for entertainment, education, and information purposes only.
0:07.0	And the topics discussed should not be used to lay a diet of street cure or prevent
0:09.4	any diseases or conditions.
0:10.4	For the more that you've used, and statements expressed on the podcast are solely those
0:12.1	of those, and should not be interpreted to reflect official policy or position of any entity
0:14.4	that's either on possibly cash like more hospital and affiliate outreach programs.
0:16.9	If indeed there are any, in fact there are none.
0:18.7	Pretty much we aren't responsible if you screw up, you should always do your own homework
0:20.5	and let us know when we're off.
0:21.5	Well Paul, we're back.
0:33.6	We've done it.
0:35.6	This is the Curbsiders, of course.
0:37.6	Paul's not going to respond to me.
0:39.7	This is the Curbsiders.
0:40.7	Tonight we are talking about women's hematology.
0:44.1	We talked about bleeding, heavy menstrual bleeding.
0:46.8	We talked about clotting.
0:48.6	When it's safe to prescribe contraception, what types and what kind of anticoagulation you
0:53.8	should prescribe, lots of stuff that I really didn't know much about Paul.
0:57.6	So this was really a practice changing episode.
1:00.6	I wanted people to know that this and most of our episodes are available for free CME
1:05.3	credit through our partnership with VCU Health Continuing Education.
	...

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