Dealing with heavy menstrual bleeding in very rare bleeding disorders: from a patient's perspective

Data on heavy menstrual bleeding in women with very rare bleeding disorders, such as very rare coagulation factor deficiencies or severe inherited platelet disorders, are scarce. Heavy menstrual bleeding is a common health problem in premenopausal women, causing both physical and psychosocial challenges. For women with very rare bleeding disorders, these challenges are unimaginably overwhelming, from hurdles during the diagnostic trajectory, facing regular monthly blood loss, to finding recognition of their unique position in life. Providing these women with a platform to share their life stories with their own true perspectives will increase awareness of this global health problem. In this opinion paper, we report the personal stories of 3 women living with very rare bleeding disorders and provide a future perspective on improving the quality of life for this population.