Abdul Mannan: Integrating Female Reproductive Health into Lifelong Haematology Care
Abdul Mannan, Consultant Haematologist at Betsi Cadwaladr University Health Board, shared a post on LinkedIn about a recent article by Bethany Samuelson Bannow et al, published in The Lancet Haematology, adding:
“Female Reproductive Health.
The Haematology Curriculum We Were Never Really Taught.
Most of us can talk about factor VIII, thrombosis risk, and marrow pathology in our sleep.
Far fewer had any formal teaching on:
- Menstrual bleeding
- Contraception
- Pregnancy
- Menopause
- Gender-affirming hormone therapy
Which is strange, when you look at who actually sits in our clinics: Half of all patients with sickle cell disease are female
At least 42 percent of referrals to haemophilia centres are women.
Menarche, pregnancy, and menopause are not ‘gynaecology problems.’
They are haematology problems too.
Heavy periods can be the first sign of an inherited bleeding disorder.
Pregnancy rewrites the coagulation system.
Menopause shifts bleeding patterns, iron balance, and thrombosis risk all at once.
If we claim to provide lifetime care, we need to understand the whole reproductive lifetime.
This Lancet Haematology review is a clear reminder that good haematology reaches well past the blood film.”
Title: Female reproductive health—what the classical haematologist needs to know
Authors: Bethany Samuelson Bannow, Imo Akpan, Maureen K Baldwin
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