My 13 year old haemorraghed during her third ever period approximately 10 days ago. She had massive clots and was bleeding through pads every ten minutes. Her blood test results ordered by the hospital showed that her blood is clotting fine and her red blood cell count is also fine. Her hormone levels and blood count were measured a few days later after she cut her finger at school and it wouldn t stop bleeding for over 2.5 hours. The results were within normal range except Her white blood cell count is a little low. The doctor has ordered a retest of white blood cell count in a couple of weeks to see if they go up. They think that the bleeding finger may be unrelated but the cut did start bleeding again. It bled thick clotted blood that slipped down her finger. Any ideas of what could be causing it?
Hello and welcome to Ask A Doctor Service.  I reviewed your query and here is my answer. Bleeding disorder in a 13-year-old lady will be most likely on will brand disease or immune thrombocytopenic purpura. Does she have any petechial or rash on the body? How about her platelet counts? Neither you comment on her bleeding time nor PT/APT. If there is low platelet and increase bleeding time then it is most likely immune thrombocytopenia, but if she had decrease platelet count with increase APT, then you will need to do test for on will brand factor for on will brand disease. Or it may be due to Chat Doctor.  Hope I answered your question. Feel free to ask further if you have any doubt before contacting to your primary doctor. Thanks.