Skip to main content
Journal cover image

von Willebrand's disease diagnosed after menorrhagia worsened from levonorgestrel intrauterine system.

Publication ,  Journal Article
Lukes, AS; Perry, S; Ortel, TL
Published in: Obstet Gynecol
May 2005

BACKGROUND: Adult females with menorrhagia may have unrecognized mild von Willebrand's disease. Most females with known von Willebrand's disease report menorrhagia. CASE: A 38-year-old healthy female desired contraception. She described heavy menses lasting 8 days since menarche. History included uncomplicated vaginal deliveries. Physical examination was normal. The levonorgestrel intrauterine system was placed. Her menorrhagia then worsened to 14 successive days each month. Evaluation revealed mild von Willebrand's disease. At 19 months of follow-up, she retained her levonorgestrel intrauterine system and avoided pregnancy. Her menses slowly improved to spotting for 8 days each month. CONCLUSION: Von Willebrand's disease is a likely cause of menorrhagia that goes unrecognized as well as a potential cause for "failed" conservative treatment for menorrhagia. Understanding the cause of menorrhagia is an important aspect of evaluating this common symptom.

Duke Scholars

Published In

Obstet Gynecol

DOI

ISSN

0029-7844

Publication Date

May 2005

Volume

105

Issue

5 Pt 2

Start / End Page

1223 / 1226

Location

United States

Related Subject Headings

  • von Willebrand Diseases
  • Treatment Outcome
  • Risk Assessment
  • Obstetrics & Reproductive Medicine
  • Menorrhagia
  • Levonorgestrel
  • Intrauterine Devices, Medicated
  • Humans
  • Follow-Up Studies
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Lukes, A. S., Perry, S., & Ortel, T. L. (2005). von Willebrand's disease diagnosed after menorrhagia worsened from levonorgestrel intrauterine system. Obstet Gynecol, 105(5 Pt 2), 1223–1226. https://doi.org/10.1097/01.AOG.0000157758.94890.59
Lukes, Andrea S., Stephanie Perry, and Thomas L. Ortel. “von Willebrand's disease diagnosed after menorrhagia worsened from levonorgestrel intrauterine system.Obstet Gynecol 105, no. 5 Pt 2 (May 2005): 1223–26. https://doi.org/10.1097/01.AOG.0000157758.94890.59.
Lukes AS, Perry S, Ortel TL. von Willebrand's disease diagnosed after menorrhagia worsened from levonorgestrel intrauterine system. Obstet Gynecol. 2005 May;105(5 Pt 2):1223–6.
Lukes, Andrea S., et al. “von Willebrand's disease diagnosed after menorrhagia worsened from levonorgestrel intrauterine system.Obstet Gynecol, vol. 105, no. 5 Pt 2, May 2005, pp. 1223–26. Pubmed, doi:10.1097/01.AOG.0000157758.94890.59.
Lukes AS, Perry S, Ortel TL. von Willebrand's disease diagnosed after menorrhagia worsened from levonorgestrel intrauterine system. Obstet Gynecol. 2005 May;105(5 Pt 2):1223–1226.
Journal cover image

Published In

Obstet Gynecol

DOI

ISSN

0029-7844

Publication Date

May 2005

Volume

105

Issue

5 Pt 2

Start / End Page

1223 / 1226

Location

United States

Related Subject Headings

  • von Willebrand Diseases
  • Treatment Outcome
  • Risk Assessment
  • Obstetrics & Reproductive Medicine
  • Menorrhagia
  • Levonorgestrel
  • Intrauterine Devices, Medicated
  • Humans
  • Follow-Up Studies
  • Female