PCH - More than just a period! A Multidisciplinary approach to Heavy Menstrual Bleeding in Adolescents
At the end of this presentation, participants should be able to:
- Define and identify heavy menstrual bleeding (HMB) in adolescents
- Describe various etiologies of HMB with focus on bleeding disorders
- Develop a multidisciplinary approach for work up of adolescents with HMB
- Formulate individualized management strategies
- Recognize burden of iron deficiency associated with HMB
Delayed CME credit is available for up to 4 weeks following the live session
Please note: providers must be affiliated with Phoenix Children's (medical staff and referring)
About this presenter:
Natasha Bala, MD
Pediatric Hematologist | Phoenix Children's
Natasha Bala, MD, MS, is a pediatric hematologist in the Center for Cancer and Blood Disorders at Phoenix Children's. Dr. Bala treats children with blood disorders, and she has specialized training in pediatrics, hemostasis, thrombosis and hematology and oncology.
After earning her medical degree at Seth G.S. Medical College and King Edward Memorial Hospital in Mumbai, India, Dr. Bala completed her pediatrics residency at State University New York (SUNY) Downstate Medical Center in Brooklyn, New York. She trained as a fellow in pediatric hematology, oncology and bone marrow transplantation at Nationwide Children's Hospital in Columbus, Ohio. She also completed an additional fellowship training in pediatric hemostasis and thrombosis at Rady Children's Hospital/University of California, San Diego which focused on bleeding and clotting disorders in children.
Dr. Bala is board certified by the American Board of Pediatrics, and she is a member of the American Academy of Pediatrics and its section of Hematology & Oncology. She is also a member of the Hemostasis and Thrombosis Research Society, the American Society of Pediatric Hematology Oncology, the Foundation of Women and Girls with Blood Disorders and the American Society of Hematology.
In addition to her clinical training, Dr. Bala earned her master's degree in clinical research from The Ohio State University in Columbus, Ohio. Dr. Bala has published research in notable peer-reviewed publications including Seminars in Thrombosis and Hemostasis, Journal of Pediatric and Adolescent Gynecology, Blood Advances and Pediatric Hematology and Oncology.
In her free time, Dr. Bala enjoys exploring new hiking areas with her husband and practicing yoga.
Melissa Parks, DO
Gynecologist | Phoenix Children’s
Dr. Parks is a board certified Obstetrician and Gynecologist who specializes in Pediatric and Adolescent Gynecology. She received her medical degree from Ohio University Heritage College of Osteopathic Medicine and Masters of Public Health from the University of Arizona. She completed OB/GYN residency at Eastern Virginia Medical School in Norfolk, VA and then went on to complete her fellowship in Pediatric and Adolescent Gynecology at Phoenix Children’s. She is now practicing full time as a Gynecologist at Phoenix Children’s. Education and research are central to her practice, mentoring future physicians as the assistant program director and research chair of the Pediatric and Adolescent Gynecology department. She participates in various committees with the North American Society for Pediatric and Adolescent Gynecology and serves as a consultant for Special Olympics Arizona.
When she's not working, she enjoys spending time with her family, hiking, running and cycling.
Accreditation Statement:
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of The University of Arizona College of Medicine - Tucson and Phoenix Children's. The University of Arizona College of Medicine - Tucson is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The University of Arizona College of Medicine - Tucson designates this Live Activity for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn up to 1.00 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit learner completion information to ACCME for the purpose of granting ABP MOC credit.
Relevant Financial Relationships Statement(s):
University of Arizona College of Medicine - Tucson Office of Continuing Medical Education adheres to the ACCME's Standards for Integrity and Independence in Accredited Continuing Education. Any individuals in a position to control the content of a CME activity, including faculty, planners, reviewers or others are required to disclose all financial relationships with ineligible entities (commercial interests). The CME office reviewers have nothing to disclose. All relevant financial relationships have been mitigated prior to the commencement of the activity.
| Name of individual | Individual's role in activity | Nature of Relationship(s) / Name of Ineligible Company(s) |
|---|---|---|
| Natasha S Bala, MD | Faculty | Nothing to disclose - 06/03/2026 |
| John R Hartley, DO, FAAP | Activity Director | Nothing to disclose - 09/29/2026 |
| Melissa Parks, DO | Faculty | Nothing to disclose - 06/11/2026 |