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Menstrual problems are likely to be worse in women with bleeding disorders, as they are more likely to have heavy and painful menstrual periods and ovulation bleeding and pain. These can have a major impact on the quality of women's lives, especially those who suffer heavy menstruation. These problems can also lead to limitations at work and school and hinder educational and academic achievements. Only few studies describe how quality of life (QOL) changes in women with an underlying haemostatic defect; poorer QOL being associated with more frequent bleeding symptoms. Early recognition, accurate diagnosis and appropriate management of bleeding disorders should improve not only the quality of care for affected women but also their QOL. Increased awareness of the high prevalence of menstrual problems especially menorrhagia is essential for early diagnosis and provision of appropriate treatments without any delay. Accurate knowledge of the impact of menorrhagia on health\u2010related quality of life (HRQOL) and its adequate assessment help individualize treatment and assess the magnitude of changes in HRQOL. An ideal situation would be to use a generic and a disease\u2010specific measure together so that comparisons can be made on a general and disease\u2010specific level.<\/jats:p>","DOI":"10.1111\/j.1365-2516.2010.02269.x","type":"journal-article","created":{"date-parts":[[2010,6,25]],"date-time":"2010-06-25T01:45:44Z","timestamp":1277430344000},"page":"832-839","source":"Crossref","is-referenced-by-count":90,"title":["The impact of menstrual disorders on quality of life in women with inherited bleeding disorders"],"prefix":"10.1111","volume":"16","author":[{"given":"R. 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