Helping Young Women Thrive

Indiana Hemophilia & Thrombosis Center (IHTC)’s Girls Only (GO) Clinic provides expert care for adolescent females from 11-18 years of age with bleeding or clotting disorders. The clinic focuses on individuals with heavy menstrual bleeding (HMB), or those at increased risk of developing blood clots who require safe hormonal therapy. HMB may be a symptom of an underlying bleeding disorder, hormonal dysfunction, and/or a gynecological issue. A personal or family history of blood clots may preclude the use of certain kinds of hormonal suppressive therapy due to safety concerns. These difficult decisions require the expertise of a hematologist and adolescent medicine physician. The GO Clinic brings together these experts to provide comprehensive, coordinated care in one appointment at the IHTC, thus maximizing patient convenience and accelerating diagnosis.

IHTC is the only federally designated Hemophilia Treatment Center (HTC) in the state of Indiana and is a center of excellence in the treatment of bleeding and clotting disorders. IHTC is staffed with an integrated on-site multidisciplinary team available to help with issues that arise during the encounter. The GO Clinic is the only specialty clinic of its kind in the state of Indiana.

GO Clinic Treats Female Bleeding Disorder Patients Who Experience:

  • Heavy menstrual bleeding symptoms:
    • Period lasting longer than seven days
    • Soaking through a pad or tampon in 1-2 hours
    • Passing clots that are larger than the size of a quarter
    • Iron deficiency, anemia, or need for blood transfusion
    • Missing days of school or work due to bleeding
  • Other bleeding symptoms:
    • Excessive bleeding after surgery, dental work or childbirth
    • Frequent and prolonged nosebleeds
    • Prolonged bleeding from cuts or wounds
    • Easy bruising
    • Family history of a bleeding disorder
  • Need for consultation regarding safe hormonal therapy, due to personal or family history of blood clots

Evaluation and Treatment Offered

  • Complete laboratory workup to rule out a bleeding disorder
  • Laboratory workup for common hormonal and gynecological issues based on clinical history and assessment
  • Oral contraceptive pill prescriptions
  • Referral for intrauterine device placement
  • Clotting disorder laboratory workup before prescribing hormonal therapy
  • Ongoing follow up care every 3-6 months to manage hormonal therapy

If a bleeding disorder is diagnosed by GO Clinic physicians, comprehensive care and regular follow up is provided at IHTC.