Abstract Number: PB1288
Meeting: ISTH 2021 Congress
Background: Heavy Menstrual Bleeding (HMB) is a public health issue. Women with HMB have a reduced quality of life. Nevertheless, it’s still an underdiagnosed women’s health issue. Hence, physicians’ knowledge in this area still needs to be evaluated and improved. Therewithal, Primary care physicians (PMP) play a key role in bleeding disorders’ diagnosis including HMB. Yet, little data have been published regarding PMP knowledge about HMB.
Aims: To assess HMB practices and knowledge among Tunisian PCP.
Methods: We developed a self-administrated online survey. The latter was composed of nine questions regarding demographics, knowledge, and practices related to the management of HMB. The survey was designed using Survey Monkey. Tunisian PCP were targeted and the survey was distributed using social media. Data were analyzed using the 25th version of SPSS.
Results: Twenty-one family physicians answered the survey. Among them, 52.38% (n=11) were family residents while 19.05% (n=4) were private PCP. Seventeen out of 21 were women and 90.48% (n=19) had between 25 and 34 years. Less than a half (42.86%) considered that they had satisfactory knowledge regarding HMB. Less than a half (42.86%) chose the right answer when asked about the normal duration of menstruations. Only five PCP evaluated HMB using specific charts. Ten out of 21 chose estrogens as a potential treatment for HMB while 10 PCP chose anti-fibrinolytic agents such as tranexamic acid. Eighteen PCP agreed that HMB was a public health issue.
Conclusions: Survey results were partially satisfactory. However, misdiagnosis and therapeutic delays may increase the burden of disease in women with HMB. We advocate the implementation of a training curriculum for PCP that focuses on the management of bleeding disorders including HMB.
To cite this abstract in AMA style:Hammami E, Helali I. Heavy Menstrual Bleeding: Knowledge and Practice Assessment among Tunisian Primary Care Physicians [abstract]. Res Pract Thromb Haemost. 2021; 5 (Suppl 1). https://abstracts.isth.org/abstract/heavy-menstrual-bleeding-knowledge-and-practice-assessment-among-tunisian-primary-care-physicians/. Accessed September 24, 2021.
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