10/20/2026
Heavy menstrual bleeding is more than a quality-of-life issue, it can also be an important sign of an underlying bleeding disorder.
A new study examined platelet function testing in 411 adolescents and young adults with unexplained heavy menstrual bleeding, finding that 10% were ultimately diagnosed with a qualitative platelet disorder (QPD), a lower prevalence than previously reported.
The findings also highlight an important diagnostic consideration: among patients who underwent repeat platelet function testing, many initially abnormal results normalized, reinforcing the importance of confirming abnormal findings before diagnosing a QPD. The study also identified differences in access to testing, with Black individuals experiencing a longer median time from their first bleeding disorders clinic visit to platelet function testing than White individuals.
For adolescent and young adult women and others who menstruate, improving the recognition and evaluation of heavy menstrual bleeding is an important part of advancing equitable, evidence-based care.
Learn more here: https://www.rpthjournal.org/article/S2475-0379(26)03628-9/fulltext