Handouts for Patients:

Handouts for patients can be found here.


  1. Relke N, Chornenki NLJ, Sholzberg M. Tranexamic acid evidence and controversies: An illustrated review. Res Pract Thromb Haemost. 2021 Jul 14;5(5):e12546. doi: 10.1002/rth2.12546. PMID: 34278187; PMCID: PMC8279901.
  2. Zia A, Rajpurkar M. Challenges of diagnosing and managing the adolescent with heavy menstrual bleeding. Thromb Res. 2016 Jul;143:91-100. doi: 10.1016/j.thromres.2016.05.001. Epub 2016 May 3. PMID: 27208978.
  3. Philipp CS, Faiz A, Heit JA, et al. Evaluation of a screening tool for bleeding disorders in a US multisite cohort of women with menorrhagia. Am J Obstet Gynecol. 2011;204(3):209.e1-209.e2097. doi:10.1016/j.ajog.2010.10.897
  4. American Academy of Pediatrics Committee on Adolescence; American College of Obstetricians and Gynecologists Committee on Adolescent Health Care; Diaz A, Laufer MR, Breech LL. Menstruation in girls and adolescents: using the menstrual cycle as a vital sign. Pediatrics. 2006 Nov;118(5):2245-50. doi: 10.1542/peds.2006-2481. PMID: 17079600.
  5. Paula D. James, Nathan T. Connell, Barbara Ameer, Jorge Di Paola, Jeroen Eikenboom, Nicolas Giraud, Sandra Haberichter, Vicki Jacobs-Pratt, Barbara Konkle, Claire McLintock, Simon McRae, Robert R. Montgomery, James S. O’Donnell, Nikole Scappe, Robert Sidonio, Veronica H. Flood, Nedaa Husainat, Mohamad A. Kalot, Reem A. Mustafa; ASH ISTH NHF WFH 2021 guidelines on the diagnosis of von Willebrand disease. Blood Adv 2021; 5 (1): 280–300. doi:
  6. Tengborn L, Blombäck M, Berntorp E. Tranexamic acid–an old drug still going strong and making a revival. Thromb Res. 2015 Feb;135(2):231-42. doi: 10.1016/j.thromres.2014.11.012. Epub 2014 Nov 20. PMID: 25559460.
  7. Zia, A, Kouides, P, Khodyakov, D, et al. Standardizing care to manage bleeding disorders in adolescents with heavy menses—A joint project from the ISTH pediatric/neonatal and women’s health SSCs. J Thromb Haemost. 2020; 18: 2759– 2774.
  8. Rosen MW, Weyand AC, Pennesi CM et al. Adolescents Presenting to the Emergency Department with Heavy Menstrual Bleeding. J . J Pediatr Adolesc Gynecol; 2020; 33: 139-143
  9. Johnson S, Lang A, Sturm M et al. iron deficiency without anemia: a common yet underdiagnosed diagnosis in young women with heavy menstrual bleeding. J Pediatr Adolesc Gynecol 2016; 29- 628
  10. Kulkarni R. Improving care and treatment options for women and girls with bleeding disorders. Eur J Haematol. 2015;95 Suppl 81:2-10
  11. Boender J, Kruip MJ, Leebeek FW. A diagnostic approach to mild bleeding disorders. J Thromb Haemost. 2016 Aug;14(8):1507-16.
  12. Developing a multidisciplinary Young Women’s Blood Disorders Program: a single-centre approach with guidance for other centres. Zia A, Lau M, Journeycake J et al . 2016 Mar;22(2):199-207
13. Acharya, S.S., (2023, April 20). Inherited abnormalities of fibrinogen.
14. American College of Obstetricians and Gynecologist, Committee on Adolescent Health Care,
Number 785 (2019). ACOG committee opinion: Bleeding Disorders in Adolescents (Reaffirmed
15. Casola, A.R., Luber, K., Riley, A.H., Medley, L. (2022). Menstrual health: Taking action against period poverty. AJPH Opinions, Ideas, &Practice, 112(3), p. 374.
16. Centers for Disease Control and Prevention. (2022). Bleeding Disorders in Women. Retrieved from
17. Liberty, A., Samuelson, B., Matteson, K., Edelman, A., Colwill,A. (2023). Menstrual technology innovations and implications for heavy menstrual bleeding. Current Commentary, 141(4), p 666-673.
18. United States Food and Drug Administration. (2023). Fibrinogen concentrates(human) approval dates. 


Relevant Contact Information:

Suchitra Shridhar Acharya, MD, MBBS – Course Director
Pediatric Hematology / Oncology, Pediatrics
(718) 470-3460
269-01 76th Avenue, New Hyde Park, NY 11040

Cohen Children’s Medical Center
Northwell Health
Adolescent Medicine
269-01 76th Ave
Queens, NY 11040
(516) 465-3270