{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T21:07:57Z","timestamp":1773004077218,"version":"3.50.1"},"reference-count":29,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T00:00:00Z","timestamp":1766102400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T00:00:00Z","timestamp":1766102400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Br J Haematol"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>Girls and women with bleeding disorders (GWBD) comprise more than half of all registered patients with bleeding disorders in the UK National Haemophilia Database. The gynaecological care of GWBD, until recently, has not been prioritised despite high health burdens, where four of every five patients experience heavy menstrual bleeding (HMB). We report the results of a national survey exploring gynaecological health\u2010care services offered across haemophilia centres in the United Kingdom, with a focus on HMB. We combine these results with a retrospective cohort analysis of individual patient care records, across a 3\u2010year period. Of 65 haemophilia centres, 41 responded, covering 90% of the UK GWBD population. Six hundred and ninety\u2010seven individual patient care records were included, from 13 centres. Our results show that immediate clinical care offered to GWBD experiencing HMB is adequate, despite infrastructure deficiencies (such as lack of joint\u2010gynaecology input and few centres having named clinical leads for GWBD). We recommend several areas for immediate prioritisation within haemophilia centres which will improve the equity of care for GWBD. These include direct access to gynaecological services; universal testing of iron status; and more broadly, a shift towards clinical practices that recognise and address the impact HMB has on patients' psycho\u2010social, sexual and overall quality of life.<\/jats:p>","DOI":"10.1111\/bjh.70295","type":"journal-article","created":{"date-parts":[[2025,12,20]],"date-time":"2025-12-20T04:40:13Z","timestamp":1766205613000},"page":"661-669","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Current gynaecological management of women and girls with bleeding disorders in the\n                    <scp>United Kingdom<\/scp>\n                    : A\n                    <scp>UKHCDO<\/scp>\n                    haemophilia treatment centre survey and evaluation of real\u2010world clinical practice for the\n                    <i>British Journal of Haematology<\/i>"],"prefix":"10.1111","volume":"208","author":[{"given":"Laura","family":"Knox","sequence":"first","affiliation":[{"name":"Department of Haematology Glasgow Royal Infirmary  Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Imogen","family":"Swart\u2010Rimmer","sequence":"additional","affiliation":[{"name":"Department of Haematology University Hospitals  Birmingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naim","family":"Rahimi","sequence":"additional","affiliation":[{"name":"Oxford Haemophilia &amp; Thrombosis Centre Oxford University Hospitals NHS Foundation Trust  Oxford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Callum","family":"Harris","sequence":"additional","affiliation":[{"name":"Oxford Haemophilia &amp; Thrombosis Centre Oxford University Hospitals NHS Foundation Trust  Oxford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lugain","family":"Abdalla","sequence":"additional","affiliation":[{"name":"Sheffield Haemophilia Comprehensive Care Centre Sheffield NHS Foundation Trust  Sheffield UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gary","family":"Benson","sequence":"additional","affiliation":[{"name":"Northern Ireland Haemophilia Comprehensive Care Centre &amp; Thrombosis Unit Belfast City Hospital  Belfast UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clare","family":"Brown","sequence":"additional","affiliation":[{"name":"Department of Haematology The Christie NHS Foundation Trust  Manchester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helen","family":"Campbell","sequence":"additional","affiliation":[{"name":"Patient Partner of the UKHCDO Girls and Women's Bleeding Disorders Group  Manchester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana","family":"Carvalhosa","sequence":"additional","affiliation":[{"name":"Southampton Haemophilia Comprehensive Care Centre University Hospital Southampton NHS Foundation Trust  Southampton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin T.","family":"Clarke","sequence":"additional","affiliation":[{"name":"Department of O&amp;G University Hospitals  Birmingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Garside","sequence":"additional","affiliation":[{"name":"Leeds Children's Hospital and The North and West Yorkshire Haemophilia Network  Leeds UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claire","family":"Lentaigne","sequence":"additional","affiliation":[{"name":"Department of Haematology University Hospitals Plymouth NHS Trust  Plymouth UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jayna","family":"Mistry","sequence":"additional","affiliation":[{"name":"Department of Haematology University Hospitals  Birmingham UK"},{"name":"Adult Comprehensive Care Haemophilia Unit Queen Elizabeth Hospital  Edgbaston Birmingham UK"},{"name":"Department of Cardiovascular Sciences University of Birmingham  Edgbaston UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Priyanka","family":"Raheja","sequence":"additional","affiliation":[{"name":"The Royal London Hospital Haemophilia Comprehensive Care Centre The Royal London Hospital  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cora","family":"Warren","sequence":"additional","affiliation":[{"name":"Cardiff Haemophilia Centre and Bleeding Disorders Network Wales University Hospital of Wales  Cardiff UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2684-1006","authenticated-orcid":false,"given":"Rezan","family":"Abdul\u2010Kadir","sequence":"additional","affiliation":[{"name":"Department of O&amp;G and Katharine Dormandy Haemophilia and Thrombosis Centre The Royal Free NHS Trust and Institute for Women's Health, UCL  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2527-9557","authenticated-orcid":false,"given":"Gill","family":"Lowe","sequence":"additional","affiliation":[{"name":"Department of Haematology University Hospitals  Birmingham UK"},{"name":"Adult Comprehensive Care Haemophilia Unit Queen Elizabeth Hospital  Edgbaston Birmingham UK"},{"name":"Department of Cardiovascular Sciences University of Birmingham  Edgbaston UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3849-0688","authenticated-orcid":false,"given":"Nicola","family":"Curry","sequence":"additional","affiliation":[{"name":"Oxford Haemophilia &amp; Thrombosis Centre Oxford University Hospitals NHS Foundation Trust  Oxford UK"},{"name":"Radcliffe Department of Medicine Oxford University  Oxford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,19]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/rth2.12468"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.14983"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.13888"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.2147\/JBM.S389241"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtha.2023.07.014"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2516.1999.00285.x"},{"key":"e_1_2_12_8_1","volume-title":"Heavy menstrual bleeding: assessment and management, NG88","author":"NICE","year":"2021"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-026186"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2014.09.027"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(23)00416-3"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.15088"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.14019"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2022.01.224"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.14379"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.14643"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.17353"},{"key":"e_1_2_12_18_1","unstructured":"Haemophilia Society Report.Underserved\u2014Overlooked: How our health systems are failing women and girls with a bleeding disorder September 2025. 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