Managing Menorrhagia in a Familial Case of Factor V Deficiency - 01/01/15
, P. Esquivel, MDAbstract |
Background |
Factor V deficiency is a rare coagulation disorder. Excessive uterine bleeding is common in affected women. We describe a case of 2 siblings with Factor V deficiency and menorrhagia who achieved control of bleeding with differing treatments.
Cases |
Patient 1 is a 16-year-old female with Factor V deficiency and menorrhagia which was previously controlled with oral contraceptives (OC). She developed heavy bleeding treated with fresh frozen plasma, anti-inhibitor coagulant complex (AICC), and OC taper. A levonorgestrel IUD was placed with good control of her menorrhagia. Patient 2 is the 12-year-old sister of Patient 1. She was treated with AICC, aminocaproic acid, and her menorrhagia was ultimately controlled with continuous OCs.
Summary and Conclusion |
Factor V deficiency is a rare cause of menorrhagia. Various treatment modalities are available. In these adolescent sisters desiring future fertility, menorrhagia was managed with OCs and an IUD.
Le texte complet de cet article est disponible en PDF.Key Words : Factor V, Menorrhagia, Intrauterine devices, Oral contraceptives
Plan
| The authors indicate no conflicts of interest. |
Vol 28 - N° 1
P. e9-e12 - février 2015 Retour au numéro
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