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Long School of Medicine

When Periods Become a Red Flag: Recognizing Bleeding Disorders in Adolescents

FACULTY:
practiced as a general pediatrician in both private practice and pediatric urgent care settings for two years before returning to fellowship training in Pediatric Hematology/Oncology in San Antonio. She will complete her fellowship in June and is excited to join the UT Health faculty in August.

OVERVIEW:
Holly Wayment presents a Pediatrics Grand Rounds on evaluating heavy menstrual bleeding in adolescents by Dr. Victoria Lehrmann: defining normal vs abnormal bleeding, recognizing red flags for inherited bleeding disorders, and reviewing common hematologic causes such as von Willebrand disease, platelet dysfunction, and hemophilia/carrier states.

The episode covers practical diagnostic tools (ISTH-BAT, PBAC), initial labs (pregnancy test, CBC, PT/PTT, fibrinogen, ferritin, and VWD testing), and interpretation caveats, plus acute and long-term management strategies (stabilization, hormonal therapy, tranexamic acid, iron repletion, IUDs) and the importance of multidisciplinary care.

OVERALL LEARNING OBJECTIVE:
Increased awareness and education for pediatric providers

DISCLOSURE TO LEARNERS:
Speaker: Victoria Lehrmann, MD has no financial relationships with ineligible companies to disclose.

The Pediatrics Now Podcast Planning Committee members: Steven Seidner, MD, and Holly Wayment have no financial relationships with ineligible companies to disclose.

¹ú²ú´óƬÎçÒ¹¸£Àû of Texas at San Antonio and Steven Seidner, MD course director and content reviewer for the activity, have reviewed all financial disclosure information for all speakers, facilitators, and planning committee members; and determined and resolved all conflicts of interests.

CONTINUING MEDICAL EDUCATION STATEMENTS:
¹ú²ú´óƬÎçÒ¹¸£Àû of Texas at San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

¹ú²ú´óƬÎçÒ¹¸£Àû of Texas at San Antonio designates this live activity up to a maximum of 0.75 AMA PRA Category 1 Creditâ„¢. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the activity, with individual assessments of the participant and feedback to the participant, enables the participant to earn 0.75 MOC point in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purposes of granting ABP MOC credit.

CERTIFICATE OF ATTENDANCE:
Healthcare professionals will receive a certificate of attendance and are asked to consult with their licensing board for information on applicability and acceptance.

Credit may be obtained upon successful completion of the activity’s evaluation.

RELEASE DATE:
6/23/2026

EXPIRATION DATE:
8/31/2028