Vikram Sinai Talaulikar: Haematology and Female Hormone Health Intersect at Multiple Levels
Vikram Sinai Talaulikar, Associate Specialist in Reproductive Medicine at UCLH and Hon, Associate Professor in Women’s Health at UCL, shared a post on LinkedIn about recent article authored by Bethany Samuelson Bannow and colleagues, published in The Lancet Haematology, adding:
“Haematology and female hormone health intersect at multiple levels.
As the authors of this review point out – Haematologists have a unique privilege of providing lifetime care, often in multidisciplinary clinics such as sickle cell disease or haemophilia treatment centres.
This is a useful and comprehensive review that covers discussions on hormone changes of menarche, pregnancy, menopause and how these life transitions impact people with underlying haematological disorders, including an increased risk of iron deficiency with or without anaemia.
The review focusses specifically on the impacts of anticoagulation on menstrual bleeding,thrombosis risk on gender-affirming care, and pregnancy on those with sickle cell disease and inherited bleeding disorders.
The authors note that most haematologists have little or no exposure to training on haematology-related, women’s health-specific outcomes.
However, many outcomes are impacted by, or are even early signs of, haematological diseases. The review provides a basis for overlap between hormones and haematology conditions and aims to support haematologists in the care of their patients.
Friday 19 June was World Sickle Cell Day, a United Nations-recognised day to raise awareness of sickle cell disorder across the world.
Hormone health, fertility problems and menopause transition remain under-researched in sickle cell and thalassaemia patients. This can cause delays in diagnosis, treatment and missed opportunities for optimal fertility and long-term health outcomes. We need to continue working hard to spread more awareness and deliver better outcomes.”
Title: Female reproductive health-what the classical haematologist needs to know
Authors: Bethany Samuelson Bannow, Imo Akpan, Maureen K Baldwin

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