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

Published: June 21, 2021, 7 a.m.

Explore the intersection of hematology and women\u2019s health as we discuss heavy menstrual bleeding (HMB), gynecologic risks of therapeutic anticoagulation, and prescribing contraception in the setting of venous thromboembolic disease.\xa0\n
\n\nWondering how to expand your women\u2019s 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.\xa0 We also explore the intersection between therapeutic anticoagulation, heavy menstrual bleeding, and thromboembolic disease of different contraceptive options.\xa0 Finally, we face the themes of overcoming sexism, and even misogyny, in women\u2019s health head-on throughout this episode. After all, half the population has a uterus.\n
\n\n\nClaim Free CE credit for this episode through VCU Health CE at http://curbsiders.vcuhealth.org/\n\n
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\nCredits
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  • Written and Produced by: Avital O\u2019Glasser MD, FACP, FHM
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  • Infographic: Avital O\u2019Glasser MD, FACP, FHM
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  • Cover Art : Kate Grant MBChB MRCGP DipGUMed
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  • Show Notes: Kate Grant MBChB MRCGP DipGUMed, Maddie Morgan, and Avital O\u2019Glasser MD, FACP, FHM
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  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Avital O\u2019Glasser MD, FACP, FHM
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  • Reviewer: Carolyn Chan, MD
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  • Editor: Matthew Watto MD, FACP (written materials); Clair Morgan of nodderly.com\n
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  • Guest: Bethany Samuelson Bannow, MD
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\nSponsor: Birch by Helix
birchliving.com/curb\n\n\n
\nSponsor: Green Chef
GreenChef.com/curb100
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\n\n\n\nCME Partner: VCU Health CE
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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.\n\n\n
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\nShow Segments
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  • Intro, disclaimer, guest bio
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  • Guest one-liner
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  • Case 1 from Kashlak
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  • Definitions related to menstrual health
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  • Quantifying/defining heavy menstrual bleeding
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  • Overcoming stigma of asking about menstrual history/health
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  • Clinical evaluation/management of the patient with heavy menstrual bleeding
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  • Case 2 from Kashlak
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  • Risk of heavy menstrual bleeding (HMB) in the setting of therapeutic anticoagulation
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  • Hormonal and nonhormonal therapy options for HMB while anticoagulated
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  • Contraception options for someone who develops VTE
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  • Case 3 from Kashlak
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  • Counseling about VTE risk of different contraception options
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  • Take Home Points; Outro; Bonus clip
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