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Heghine Khachatryan: When Bleeding Speaks – Think Beyond Gynecology
Heghine Khachatryan/LinkedIn
Apr 7, 2026, 14:36

Heghine Khachatryan: When Bleeding Speaks – Think Beyond Gynecology

Heghine Khachatryan, Editor-in-Chief of Hemostasis Today, Head of Hemophilia and Thrombosis Center at Yeolyan Hematology and Oncology Center, shared a post on LinkedIn:

“When Bleeding Speaks – Think Beyond Gynecology

Heavy menstrual bleeding is not just a symptom – it is a diagnostic signal.

Up to 24% of women with HMB may have von Willebrand disease, the most common inherited bleeding disorder — yet often missed.

Red Flags

  • Menorrhagia from menarche
  • Bleeding >7 daysIron deficiency anemia
  • Postpartum/surgical bleeding
  • Family history

Not symptoms – diagnostic alarms

Think VWD When

  • Bleeding is disproportionate
  • Treatment response is poor
  • Multisite bleeding exists
  • Pregnancy is complicated

Approach

Don’t treat in silos

  • Hematology and Gynecology
  • vWF testing (activity, antigen, FVIII)
  • Risk assessment before surgery/pregnancy

Treatment: Mechanism-Based

  • Hormonal therapy
  • Tranexamic acid
  • DDAVP / vWF concentrates

Core Message

  • Treating bleeding alone: incomplete care
  • Identifying cause: changing outcomes

Final Thought

Every unexplained bleeding in a woman deserves a hemostasis workup.

Because sometimes, ‘just a period’ is a missed diagnosis.”

Heghine Khachatryan: When Bleeding Speaks - Think Beyond Gynecology

Other posts featuring Heghine Khachatryan on Hemostasis Today.

bleeding disorders Health heavy menstrual bleeding Heghine Khachatryan Hematology Hemostasis Hemostasis News Hemostasis Today hormonal therapy Medicine tranexamic acid Von Willebrand Disease
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