The Curbsiders Internal Medicine Podcast

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

Jun 21, 2021

01:01:43

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Highlights

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Episode notes

Oral Contraceptive Pills - What Are the Differences?

05:09

Is There a Herd Due Twoscore for Bleeding?

05:58

Oral Contraceptive Pills - Are They Safe?

02:06

Introduction

2min

Women's Health Meets Hematology

1min

The Emperor of All Maladies

2min

Birch Mattresses - The Best Mattress in the World

4min

Are Your Periods Heavy?

2min

Do You Have a History of Heavy Periods?

6min

What's Your Illness for Von Willebran?

4min

Is Menstrual Bleeding Stigmatizing?

6min

Is It a Good Idea to Send a Patient to a Gastroenterologist?

3min

10.

Trans Examic Acid

3min

11.

Green Chef Is the Number One Meal Kit for Eating

2min

12.

The Risk of Heavy Menstral Bleeding While on Anticoagulation

3min

13.

Is There a Higher Peak With River Oxaban Than Abyxiban?

5min

14.

Oral Contraceptive Pills - Are They Safe?

2min

15.

Is Projectoron a Good Contraceptive?

2min

16.

Is There a Herd Due Twoscore for Bleeding?

6min

17.

Oral Contraceptive Pills - What Are the Differences?

5min

18.

The Curb Siders Podcast - What's Up With Stevie?

3min

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