Heavy Menstrual Bleeding: Wolfgang Miesbach Explains the Surprising Link to Clotting
Wolfgang Miesbach, Professor of Medicine at Frankfurt University Hospital, shared on LinkedIn:
“Heavy menstrual bleeding in endometriosis – is it due to blood clotting? Many patients think: “My bleeding is so heavy, can it be a clotting disorder!” But the reality is more differentiated – and in my interview for endometriose-doc.de I try to clarify exactly that! Many thanks to Daniela Frank!
In most cases, there is NO general coagulation disorder.
Instead, it is the additional bleeding endometriosis foci themselves, hormonal changes or completely different causes such as fibroids or thyroid diseases that are responsible for the heavy bleeding.
There are exceptions:
- Von Willebrand syndrome is surprisingly common in severe endometriosis
- And some women have TOO MUCH blood clotting ability instead of too little – with a risk of thrombosis!
A game-changer for treatment:
- NEVER take acetylsalicylic acid (ASA) during heavy menstrual bleeding – this thins the blood!
- Better: Paracetamol or Novalgin
- Hormonal therapies must be individually coordinated
- If you have a family history of thrombosis? Check the thrombophilia parameters!
Every endometriosis is different. Heavy bleeding + nosebleeds + bruises? This could indicate a clotting disorder.
The full interview with a scientific background here.”
Stay informed with Hemostasis Today.
-
May 23, 2026, 08:15Alexander Krupp: Asundexian Receives Priority Review Designation from China‘s NMPA
-
May 23, 2026, 07:59Toward a Dedicated Framework for MIg-Driven Hemostatic Disorders – JTH
-
May 23, 2026, 07:53Ankit Panthari: Can Haemophilia Serve as A Health System Model for Other Rare Diseases in India?
-
May 23, 2026, 07:43Ted Roh: Indonesia’s Plasma Fractionation Plant Wins Social Infrastructure Deal of the Year at the IJGlobal Awards 2025
-
May 23, 2026, 07:36Angie Read: Stories of Strength and Resilience on The Latest Episode of Stroke Sisters
-
May 23, 2026, 07:30Ozlem Fidanci: Reflections From WHA79 on the Future of Stroke Care
-
May 23, 2026, 07:21Ney Carter Borges: Where the Benefit Appears in Dual Antiplatelet Therapy
-
May 23, 2026, 05:38SIUH Advances Precision Stroke Care with Vena MicroAngioscope – Northwell Health
-
May 23, 2026, 05:31Kalyan Roy: Precision Blood Matching in Transfusion-Dependent Thalassaemia