A great number of women may have a bleeding disorder, and many may not know it. These can pose unique health challenges for their reproductive   well being and quality of life. Symptoms can include heavy menstrual bleeding, nosebleeds, easy bruising, heavy or hard-to-stop bleeding during/after surgery and childbirth, anemia. Personal context varies from one person to another with consequences as a patient, over the family, and all the other interacting persons. Haemophilia, defined as a clotting factor VIII or IX deficiency in males,  causes frequent symptoms in carriers (females) as one of the most common coagulopathy, alongside other clotting factor insufficiencies with associated complications, and a leading manifestation as unexplained menorrhagia. Paediatricians, OB/Gynaecologists and general healthcare providers may be the first to recognise signs of a bleeding disorder. Determining the risk, and coordinating the adequate care with a paediatrician/haematologist, will improve their knowledge in understanding their unique needs and the importance to achieve appropriate treatment. From the status of carriers, to personal manifestations, it is important that women address to specialised centres (HTCs), ask for counselling, include genetic testing and be a part of a comprehensive team and individualised treatment. Respecting the specialty recommendations, they can prevent blood transfusions, arthritis and breakdown of joints (hemartrosis), hysterectomy (lack of diagnosis) or other complicated surgery. Through a complex healthcare system, but informed and with a clear diagnosis, women with bleeding disorders can navigate towards the services they need. Even if there is no cure, controlling the symptoms is possible with adequate results and normal haemostasis.

Horatiu with an experience of more than 5 years in the European Comprehensive Treatment and Care Centre for Haemophilia from Bucharest-Romania, Horatiu Vultur, PhD.Std. and specialist doctor in pediatrics, relocated himself as a National Health Program Coordinator for Haemophilia in the Giurgiu District Emergency Hospital and head of Haemophilia Rehabilitation Clinic -ArtMedical from Bucharest. He is a member of several national and international in-field associations and an advisory board member regarding Haemophilia. The clinical work has always been completed by research with results presented in more than 60 articles and books, permanent lectures and workshops; the know-how is reaching places as Uganda-Africa and remote areas of Asia as a volunteer doctor for difficult cases.