{"id":1088,"date":"2023-08-14T07:52:15","date_gmt":"2023-08-14T07:52:15","guid":{"rendered":"https:\/\/new.vwdtest.com\/fn\/?page_id=1088"},"modified":"2025-10-09T12:56:06","modified_gmt":"2025-10-09T12:56:06","slug":"vwd-and-gynaecology-obstetrics","status":"publish","type":"page","link":"https:\/\/vwdtest.com\/fi\/vwd-and-gynaecology-obstetrics\/","title":{"rendered":"VWD AND GYNAECOLOGY \/ OBSTETRICS"},"content":{"rendered":"
\n
Bleeding disorders, including von Willebrand disease (VWD)<\/a>, are estimated to be responsible for heavy menstrual bleeding (HMB) in one in five women with the condition.1 <\/sup>Bleeding disorders are also a major risk factor for excessive bleeding during childbirth and postpartum. Despite the prominent role of bleeding disorders as causes of excessive vaginal bleeding, and the fact that VWD is the most common bleeding disorder, only a fraction of women that present with excessive vaginal bleeding are tested for VWD.2<\/sup><\/h5>\n<\/div>\n\n\"VWD\r\n\n\n
\n

Due to lack of awareness and education, VWD often remains undiagnosed, or the diagnosis is delayed. Without diagnosis and treatment, these women may experience severe physical and psychological consequences of their HMB, including fatigue, anaemia, anxiety and depression.1<\/sup><\/p>\n<\/div>\n\n

\n

The role of gynaecologists and obstetricians<\/h3>\n<\/div>\n\n
\n

Almost all women with VWD in the reproductive age experience excessive vaginal bleeding.3<\/sup> Moreover, heavy periods are often the first prominent bleeding symptom as girls with VWD enter puberty. As a gynaecologist or obstetrician, you are often the first healthcare provider with whom these girls or their caretakers discuss an extensive bleeding tendency. Your consultations therefore present a first opportunity to help identify patients who may benefit from further diagnostic evaluation for a bleeding disorder. This opportunity is particularly important in societies that stigmatise vaginal bleeding, or for patients who may have become desensitised to their heavy periods and may feel unheard or poorly understood.2<\/sup> Moreover, since bleeding disorders such as VWD are hereditary conditions, a diagnosis of VWD often helps to identify additional family members at risk.<\/p>\n<\/div>\n\n

\n

Although increased awareness among healthcare providers and patients is the most important step in identifying patients at risk of bleeding, diagnosing VWD remains a challenging task due to the complexity of the diagnostic process.2<\/sup> If one of your patients has recently presented with excessive vaginal bleeding, we recommend that you ask your patient to document her period with our period assessment chart<\/a>. You may also suggest performing our bleeding test<\/a> with your patient. The test will support you taking a first decision whether further investigations are needed \u2013 and could change your patient\u2019s life!<\/p>\n<\/div>\n\n

\n

There are several treatment options for women with VWD and HMB, and guidelines for the management of HMB due to VWD are available.4<\/sup> Treatment should be individualised, taking factors such as age, lifestyle, pregnancy wishes and other patient preferences into consideration. It is important to note that some treatments, e.g. contraceptives, are often effective in controlling HMB, but will not protect your patients with VWD from bleeding after trauma, an accident, or during surgery<\/a>, therefore a complete diagnosis is crucial. Moreover, excessive vaginal bleeding is often met with stigmatisation and dismissal. Together with limitations in everyday life, physical activities and social interactions due to HMB, this lack of recognition can place a heavy mental burden<\/a> on your patients.5,6<\/sup> Without sufficient social support, your patients with VWD may even develop anxieties and depression.<\/p>\n<\/div>\n\n

\n

Women with VWD can have successful pregnancies<\/a> and deliver healthy babies. However, without diagnosis and treatment, they may experience excessive bleeding during and after delivery. Therefore, careful planning and monitoring are essential to ensure a normal delivery. Whenever possible, pregnancy and delivery should be discussed and planned well in advance and together with a multidisciplinary team including a specialised haematologist at a treatment centre<\/a>.8,9<\/sup> VWDtest also offers further information about the aetiology<\/a>, diagnosis <\/a>and management of VWD<\/a>, as well as insight into the typical journey<\/a> of patients with VWD.<\/p>\n<\/div>\n\n

\n
References<\/h6>\n<\/div>\n\n
\n
    \n
  1. Kadir RA et al. Lancet <\/em>1998; 351:485-9.<\/li>\n<\/div>\n\n
    \n
  2. Corrales-Medina FF et al. Blood Rev<\/em><\/a> 2023; 58:101018.<\/li>\n<\/div>\n\n
    \n
  3. de Wee EM, et al. Thromb Haemost<\/em> 2012; 108:683-92.<\/li>\n<\/div>\n\n
    \n
  4. Connell NT et al. Blood Adv<\/em> 2021; 5:301-25.<\/li>\n<\/div>\n\n
    \n
  5. VanderMeulen H, et al. Hematology Am Soc Hematol Educ Program<\/em> 2022 1: 631-6.<\/li>\n<\/div>\n\n
    \n
  6. Sanigorska A, et al. Res Pract Thromb Haemost<\/em> 2022; 6:e12652.<\/li>\n<\/div>\n\n
    \n
  7. Roberts JC, et al. Haemophilia <\/em>2022; doi: 10.1111\/hae.14725.<\/li>\n<\/div>\n\n
    \n
  8. Leebeek FWG, et al. Blood <\/em>2020; 136:2143-50.<\/li>\n<\/div>\n\n
    \n
  9. Janbain M and Kouides P Int J Womens Health<\/em> 2022; 14:1307-13.<\/li>\n<\/div><\/ol>\n<\/div>","protected":false},"excerpt":{"rendered":"

    Bleeding disorders, including von Willebrand disease (VWD), are estimated to be responsible for heavy menstrual bleeding (HMB) in one in five women with the condition.1 Bleeding disorders are also a major risk factor for excessive bleeding during childbirth and postpartum. Despite the prominent role of bleeding disorders as causes of excessive vaginal bleeding, and the […]<\/p>\n","protected":false},"author":1,"featured_media":1096,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false},"acf":[],"yoast_head":"\nVWD AND GYNAECOLOGY \/ OBSTETRICS - Finland<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/vwdtest.com\/fi\/vwd-and-gynaecology-obstetrics\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"VWD AND GYNAECOLOGY \/ OBSTETRICS - Finland\" \/>\n<meta property=\"og:description\" content=\"Bleeding disorders, including von Willebrand disease (VWD), are estimated to be responsible for heavy menstrual bleeding (HMB) in one in five women with the condition.1 Bleeding disorders are also a major risk factor for excessive bleeding during childbirth and postpartum. Despite the prominent role of bleeding disorders as causes of excessive vaginal bleeding, and the […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/vwdtest.com\/fi\/vwd-and-gynaecology-obstetrics\/\" \/>\n<meta property=\"og:site_name\" content=\"Finland\" \/>\n<meta property=\"article:modified_time\" content=\"2025-10-09T12:56:06+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/vwdtest.com\/fi\/wp-content\/uploads\/sites\/68\/2023\/08\/gynaecology-img.png\" \/>\n\t<meta property=\"og:image:width\" content=\"611\" \/>\n\t<meta property=\"og:image:height\" content=\"904\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/vwdtest.com\/fi\/vwd-and-gynaecology-obstetrics\/\",\"url\":\"https:\/\/vwdtest.com\/fi\/vwd-and-gynaecology-obstetrics\/\",\"name\":\"VWD AND GYNAECOLOGY \/ OBSTETRICS - Finland\",\"isPartOf\":{\"@id\":\"https:\/\/vwdtest.com\/fi\/#website\"},\"datePublished\":\"2023-08-14T07:52:15+00:00\",\"dateModified\":\"2025-10-09T12:56:06+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/vwdtest.com\/fi\/vwd-and-gynaecology-obstetrics\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/vwdtest.com\/fi\/vwd-and-gynaecology-obstetrics\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/vwdtest.com\/fi\/vwd-and-gynaecology-obstetrics\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/vwdtest.com\/fi\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"VWD AND GYNAECOLOGY \/ OBSTETRICS\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/vwdtest.com\/fi\/#website\",\"url\":\"https:\/\/vwdtest.com\/fi\/\",\"name\":\"Finland\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/vwdtest.com\/fi\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"VWD AND GYNAECOLOGY \/ OBSTETRICS - Finland","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/vwdtest.com\/fi\/vwd-and-gynaecology-obstetrics\/","og_locale":"en_US","og_type":"article","og_title":"VWD AND GYNAECOLOGY \/ OBSTETRICS - Finland","og_description":"Bleeding disorders, including von Willebrand disease (VWD), are estimated to be responsible for heavy menstrual bleeding (HMB) in one in five women with the condition.1 Bleeding disorders are also a major risk factor for excessive bleeding during childbirth and postpartum. Despite the prominent role of bleeding disorders as causes of excessive vaginal bleeding, and the […]","og_url":"https:\/\/vwdtest.com\/fi\/vwd-and-gynaecology-obstetrics\/","og_site_name":"Finland","article_modified_time":"2025-10-09T12:56:06+00:00","og_image":[{"width":611,"height":904,"url":"https:\/\/vwdtest.com\/fi\/wp-content\/uploads\/sites\/68\/2023\/08\/gynaecology-img.png","type":"image\/png"}],"twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"3 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/vwdtest.com\/fi\/vwd-and-gynaecology-obstetrics\/","url":"https:\/\/vwdtest.com\/fi\/vwd-and-gynaecology-obstetrics\/","name":"VWD AND GYNAECOLOGY \/ OBSTETRICS - Finland","isPartOf":{"@id":"https:\/\/vwdtest.com\/fi\/#website"},"datePublished":"2023-08-14T07:52:15+00:00","dateModified":"2025-10-09T12:56:06+00:00","breadcrumb":{"@id":"https:\/\/vwdtest.com\/fi\/vwd-and-gynaecology-obstetrics\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/vwdtest.com\/fi\/vwd-and-gynaecology-obstetrics\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/vwdtest.com\/fi\/vwd-and-gynaecology-obstetrics\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/vwdtest.com\/fi\/"},{"@type":"ListItem","position":2,"name":"VWD AND GYNAECOLOGY \/ OBSTETRICS"}]},{"@type":"WebSite","@id":"https:\/\/vwdtest.com\/fi\/#website","url":"https:\/\/vwdtest.com\/fi\/","name":"Finland","description":"","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/vwdtest.com\/fi\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"}]}},"_links":{"self":[{"href":"https:\/\/vwdtest.com\/fi\/wp-json\/wp\/v2\/pages\/1088"}],"collection":[{"href":"https:\/\/vwdtest.com\/fi\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/vwdtest.com\/fi\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/vwdtest.com\/fi\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vwdtest.com\/fi\/wp-json\/wp\/v2\/comments?post=1088"}],"version-history":[{"count":84,"href":"https:\/\/vwdtest.com\/fi\/wp-json\/wp\/v2\/pages\/1088\/revisions"}],"predecessor-version":[{"id":2707,"href":"https:\/\/vwdtest.com\/fi\/wp-json\/wp\/v2\/pages\/1088\/revisions\/2707"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vwdtest.com\/fi\/wp-json\/wp\/v2\/media\/1096"}],"wp:attachment":[{"href":"https:\/\/vwdtest.com\/fi\/wp-json\/wp\/v2\/media?parent=1088"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}