This case details the management of a healthy 14-year-old female with both menorrhagia and a family history of thrombophilia - presenting a hemoglobin of 2.9 g/dl, MCV 61fl, and reticulocyte count of 0.9 percent. Guidelines discussed include whether an evaluation should be done for an underlying bleeding disorder, as well as what tests and what form of contraception and medication for the regularization of periods should be advised. 

DiMichele D. Ask the Hematologist [online].