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

The Curbsiders Internal Medicine Podcast

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/

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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