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Clinical resources for healthcare professionals on bleeding and clotting disorders in women and girls

Bleeding and clotting disorders in women and girls, including von Willebrand disease, heavy menstrual bleeding, venous thromboembolism and rare coagulation factor deficiencies, remain significantly underrecognized across specialties. Hematologists, gynecologists, obstetricians and primary care providers need access to current clinical guidelines, diagnostic tools and evidence-based treatment protocols to close that gap.
 
The ISTH has developed this centralized hub to make finding that information faster and easier. Here you will find curated peer-reviewed articles organized by topic, clinical guidance documents and resources from our collaborative partners working to advance care in women's thrombosis and hemostasis. Our goal is to support healthcare professionals with the evidence needed to improve diagnosis, treatment and quality of life for women at every stage of life.

Doctor and Patient discussing menopause and cardiovascular health

Curated resources for healthcare professionals

Healthcare providers play a critical role in diagnosing and managing bleeding and clotting disorders in women and girls, from heavy menstrual bleeding and von Willebrand disease to pregnancy-associated thrombosis. This curated resource hub offers clinical tools, global guidelines and actionable steps organized around your needs. Select a category below to navigate to your resources.

Support by topic:
Resources for healthcare professionals on women's bleeding and clotting 

The following resources are curated by subject and developed in collaboration with ISTH and its collaborative partners to support healthcare professionals, researchers and anyone working to improve care for women and girls  with bleeding and clotting disorders. Resources include peer-reviewed articles, research papers, clinical guidelines and expert guidance. The ISTH Global Public Affairs Committee has vetted all resources to ensure accuracy, relevance and scientific integrity.

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Select a topic below to explore resources in that area. If you are a collaborative partner with resources you would like added to this collection, share them with us.

Heavy menstrual bleeding clinics for adolescents

American Society of Hematology

A clinical resource from the American Society of Hematology on establishing and operating specialized heavy menstrual bleeding clinics for adolescent patients.

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Diagnosis and management of heavy menstrual bleeding and bleeding disorders in adolescents

JAMA Pediatrics

A peer-reviewed JAMA Pediatrics article providing evidence-based guidance on diagnosing and managing heavy menstrual bleeding and underlying bleeding disorders in adolescent girls.

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Menstruation in girls and adolescents: Using the menstrual cycle as a vital sign

American Academy of Pediatrics

An American Academy of Pediatrics clinical report outlining how healthcare professionals can use menstrual cycle patterns as an indicator of overall health in girls and adolescents.

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ACOG Committee Opinion: Screening and management of bleeding disorders in adolescents with heavy menstrual bleeding

American College of Obstetricians and Gynecologists

An official committee opinion from the ACOG with recommendations for screening and managing bleeding disorders in adolescents with heavy menstrual bleeding.

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Let's Talk Girls Affected by Hemophilia

Let's Talk Period

Patient-centered infographic on heavy menstrual bleeding in girls affected by hemophilia.

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Bleeding disorders and abnormal bleeding teaching toolkit

Let's Talk Period

A patient and provider education toolkit from Let's Talk Period designed to support conversations about bleeding disorders and abnormal uterine bleeding in clinical and community settings.

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Provider handouts on menstruation

Foundation for Women and Girls with Blood Disorders

A series of resources for providers to share with their patients to address heavy menstrual bleeding. Available in both English and Spanish.

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Venous thromboembolism in women with breast and gynaecological cancers: What do we know and what should we do?

Clinical and Applied Thrombosis/Hemostasis

A peer-reviewed article from Clinical and Applied Thrombosis/Hemostasis examining the current evidence and clinical recommendations for managing venous thromboembolism risk in women with breast and gynecological cancers.

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CAT Guidelines: 2022 International clinical practice guidelines for the treatment and prophylaxis of venous thromboembolism in patients with cancer, including patients with COVID-19

ISTH

The 2022 international clinical practice guidelines provide evidence-based recommendations for the treatment and prevention of cancer-associated thrombosis, including considerations for patients with COVID-19.

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Estrogen, progestin, and beyond: thrombotic risk and contraceptive choices

American Society of Hematology

An American Society of Hematology resource examining the thrombotic risks associated with estrogen and progestin-based contraceptives and guidance for supporting informed contraceptive decision-making in women with bleeding and clotting disorders.

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Combined oral contraceptives and the risk of thrombosis

International Journal of Molecular Sciences

A peer-reviewed article from the International Journal of Molecular Sciences reviewing the mechanisms and evidence behind venous thromboembolism risk associated with combined oral contraceptive use in women.

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Hormonal therapies and venous thrombosis: Considerations for prevention and management

Research and Practice in Thrombosis and Haemostasis

A clinical review published in Research and Practice in Thrombosis and Haemostasis outlining key considerations for preventing and managing venous thrombosis risk in women using hormonal therapies.

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ISTH clinical guidance and guidelines for women's health

The ISTH produces evidence-based clinical practice guidelines and guidance documents that provide practical recommendations for managing thrombosis and hemostasis disorders across the reproductive lifespan.

 

Developed by multidisciplinary expert panels, these resources address clinically important topics in women's health and offer informed guidance where randomized controlled trial data may be limited.

 

Alongside its guidelines, the ISTH offers validated clinical tools to support real-world decision-making, including VTE risk assessment protocols, the ISTH Bleeding Assessment Tool (BAT) and the Pictorial Blood Assessment Chart (PBAC). Browse the full collection of women's health guidelines, guidance documents and clinical tools.

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Global support:
Collaborative networks

Navigating women's health challenges in thrombosis and hemostasis often requires collaboration beyond your immediate practice.

 

The ISTH has curated a comprehensive network of global and regional societies, organizations and associations dedicated to advancing care in this specialized field.

 

Whether you're seeking expert consultation on complex cases, looking to expand your knowledge through professional development opportunities or connecting with colleagues who share your focus on women's health, these organizations provide the specialized expertise and community support essential to delivering optimal patient care.

Meet our partners
Group of Doctors preparing to access ISTH resources on women's bleeding and clotting

Explore ISTH resources

The ISTH provides comprehensive educational resources and research publications to advance clinical practice in thrombosis and hemostasis.

 

Access curated women's health content, continuing education through the ISTH Academy, and peer-reviewed research from our flagship journals.

The ISTH Academy delivers continuing medical education through webinars, courses and expert content in thrombosis and hemostasis.

The ISTH Academy delivers continuing medical education through webinars, courses and expert content in thrombosis and hemostasis. Educational resources support healthcare professionals advancing clinical knowledge in bleeding and clotting disorders.

The Journal of Thrombosis and Haemostasis publishes peer-reviewed research advancing diagnosis and treatment of bleeding and clotting.

The Journal of Thrombosis and Haemostasis (JTH)  publishes peer-reviewed research advancing diagnosis and treatment of bleeding and clotting. Original research, clinical investigations and guidelines shape global practice in thrombosis and hemostasis.

Research and Practice in Thrombosis and Haemostasis (RPTH) is an open-access journal publishing peer-reviewed advances in bleeding and clotting.

Research and Practice in Thrombosis and Haemostasis (RPTH) is an open-access journal publishing peer-reviewed advances in bleeding and clotting. Global researchers and clinicians access the latest evidence-based research in thrombosis and hemostasis care.

Clinical resources from our collaborative partners

Finding reliable clinical information on women's bleeding and clotting disorders just got easier. The ISTH has partnered with leading organizations in thrombosis and hemostasis to bring healthcare professionals a curated collection of evidence-based resources on conditions including von Willebrand disease, venous thromboembolism, heavy menstrual bleeding and thrombophilia, all in one place. Explore the resources below to support accurate diagnosis, informed treatment decisions and better patient outcomes.

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Guidelines, screening tools and evidence

Visit FWGBD
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Foundation for Women & Girls with Blood Disorders resource directory

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Resources from FIGO

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