{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:19:34Z","timestamp":1787019574961,"version":"build-2736575974"},"reference-count":14,"publisher":"American Society of Hematology","issue":"1","content-domain":{"domain":["ashpublications.org"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,12,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Heavy menstrual bleeding (HMB) is a common symptom in adolescence, often leading to significant disruptions in daily life, such as school absences, shame caused by the stigma surrounding menstruation, and symptoms from iron deficiency. Further, HMB may be the first and\/or only sign of an underlying bleeding disorder. Navigating the symptoms, effects, and treatments of HMB during adolescence requires a collaborative approach between the patient, caregivers, and healthcare providers. This work can be effectively and efficiently conducted in interdisciplinary clinics, where patients see hematology, gynecology, and adolescent providers. In these settings, healthcare providers exchange knowledge and expertise, after which they can reach a consensus for diagnostic evaluation and therapeutic intervention. Development and implementation of an interdisciplinary hematology and gynecology clinic can be challenging; however, the crucial rationale is that established clinics improve patient outcomes. Using an example interdisciplinary adolescent clinic, we outline the critical components needed to execute a successful clinic for adolescents with HMB and share key takeaways.<\/jats:p>","DOI":"10.1182\/hematology.2024000562","type":"journal-article","created":{"date-parts":[[2024,12,6]],"date-time":"2024-12-06T10:04:02Z","timestamp":1733479442000},"page":"382-387","update-policy":"https:\/\/doi.org\/10.1182\/blood.2019cm0000","source":"Crossref","is-referenced-by-count":4,"title":["Heavy menstrual bleeding clinics for adolescents"],"prefix":"10.1182","volume":"2024","author":[{"given":"Maureen","family":"Baldwin","sequence":"first","affiliation":[{"name":"1 Department of Obstetrics and Gynecology, Oregon Health and Science University, Portland, OR"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristina M.","family":"Haley","sequence":"additional","affiliation":[{"name":"2 The Hemostasis and Thrombosis Center, Oregon Health and Science University, Portland, OR"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janice M.","family":"Staber","sequence":"additional","affiliation":[{"name":"3 Stead Family Department of Pediatrics, Carver College of Medicine, University of Iowa, Iowa City, IA"},{"name":"4 Iowa Hemophilia and Thrombosis Center, Stead Family Children's Hospital, University of Iowa, Iowa City, IA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"234","published-online":{"date-parts":[[2024,12,6]]},"reference":[{"issue":"1","key":"2024121115505194000_hem2024000562C1","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1002\/rth2.12468","article-title":"Sexism in the management of bleeding disorders","volume":"5","author":"Weyand","year":"2021","journal-title":"Res Pract Thromb Haemost"},{"issue":"suppl 2","key":"2024121115505194000_hem2024000562C2","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1002\/ijgo.14945","article-title":"Reflections on access to care for heavy menstrual bleeding: past, present, and in times of the COVID-19 pandemic","volume":"162","author":"Henry","year":"2023","journal-title":"Int J Gynaecol Obstet"},{"issue":"suppl 81","key":"2024121115505194000_hem2024000562C3","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1111\/ejh.12580","article-title":"Improving care and treatment options for women and girls with bleeding disorders","volume":"95","author":"Kulkarni","year":"2015","journal-title":"Eur J Haematol"},{"issue":"7","key":"2024121115505194000_hem2024000562C4","doi-asserted-by":"crossref","first-page":"102229","DOI":"10.1016\/j.rpth.2023.102229","article-title":"Heavy menstrual bleeding in adolescents: incidence, diagnostics, and management practices in primary care","volume":"7","author":"Van \u2019t Klooster","year":"2023","journal-title":"Res Pract Thromb Haemost"},{"issue":"3","key":"2024121115505194000_hem2024000562C5","doi-asserted-by":"crossref","first-page":"102302","DOI":"10.1016\/j.jogoh.2021.102302","article-title":"Prevalence of dysmenorrhea in adolescents in France: results of a large cross-sectional study","volume":"51","author":"Hadjou","year":"2022","journal-title":"J Gynecol Obstet Hum Reprod"},{"issue":"2","key":"2024121115505194000_hem2024000562C6","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1016\/j.jpag.2012.11.004","article-title":"The quality of life of adolescents with menstrual problems","volume":"26","author":"Nur Azurah","year":"2013","journal-title":"J Pediatr Adolesc Gynecol"},{"key":"2024121115505194000_hem2024000562C7","unstructured":"Foundation for Women & Girls+ with Blood Disorders. 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