Heghine Khachatryan: Endometriosis Is Not Only a Pain Disorder
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:
”Endometriosis is not only a pain disorder.
It should increasingly be recognized as a systemic clinical condition, associated not only with chronic pelvic pain, dysmenorrhea, and infertility, but also with fatigue, significant impairment in quality of life, heavy menstrual bleeding, and iron deficiency.
Recent international evidence suggests that women with endometriosis are at increased risk of iron deficiency, and in many cases, low ferritin may be present even before overt anemia develops.
This requires a shift in our clinical thinking.
When a patient presents with:
- heavy menstrual bleeding
- pronounced fatigue
- pelvic pain
- subfertility
- and ‘borderline normal’ hemoglobin
we should not limit management to symptomatic pain control alone.
A comprehensive evaluation should include:
- ferritin levels
- complete blood count indices
- assessment of iron deficiency
- evaluation for abnormal uterine bleeding / adenomyosis overlap
- and the overall inflammatory and functional burden of disease
Modern management of endometriosis is multidimensional:
- early clinical suspicion
- targeted imaging
- individualized management of pain and bleeding
- timely identification and correction of iron deficiency
- and, when appropriate, consideration of newer therapeutic options, including oral GnRH antagonists in selected patients
The key message is clear:
Low ferritin in a woman with endometriosis is not a minor laboratory finding.
It may represent a clinically meaningful indicator of:
- ongoing blood loss
- disease burden
- and unrecognized functional compromise
Contemporary endometriosis care must go beyond lesion detection and focus on: iron status, bleeding burden, and the full impact on a woman’s daily life.”
Other posts featuring Heghine Khachatryan on Hemostasis Today.
-
Oct 20, 2026, 22:59Building Effective Patient Advocacy Through Collaboration Between Patients and Clinicians – EHC
-
Oct 20, 2026, 21:22Intezar Mehdi: When Prolonged Bleeding May Indicate an Underlying Bleeding Disorder
-
Oct 20, 2026, 21:06Nandini Pethe: Sharing My Experience as a Caregiver in the HOPE Factor Resource Guide
-
Oct 20, 2026, 16:51Suzan Nakasendwa: A Growing Stroke Challenge in Uganda
-
Oct 20, 2026, 16:38Steve Moon: How Does Smoking Cessation Duration Affect Ischemic Stroke Risk
-
Oct 20, 2026, 16:25Cedrice Mentor: Reducing Platelet Wastage Through Cold Storage
-
Oct 20, 2026, 16:09Thirunavukkarasu Angappan: Can a Purified Fibrinogen Concentrate Replace Cryoprecipitate
-
Oct 20, 2026, 16:01Kalyan Roy: Platelet Conservation Through Evidence-Based Transfusion Practice
-
Oct 20, 2026, 15:28Stacy E. Croteau: 33 Countries, One Mission – Better Bleeding Disorder Care