Conversation: The conversation between human and AI assistant.
[|Human|] Hi Dr. Rynne. My 13 year old daughter is under the care of both her pediatrician and a gyno for dysfunctional uterine bleeding She is on day 134 of bleeding. The gyno completed a thrombophilia test last week and it just came back with a protein s deficiency. She does have a history of massive nosebleds as well. From all I have read, it seems that the deficiency should have the opposite effect on her. What is your take as we have now begun the wait to get in to see a pediatric hematologist? Thank you
[|AI|]  Hello and welcome to Chat Doctor, Protein S is involved in coagulation pathway and thus deficiency of protein S will lead to bleeding disorders. Your daughter is suffering from bleeding disorders- dysfunctional uterine bleeding and nose bleeds. The deficiency of protein S is congenital in most of the cases and requires replacement with protein S. Thus, you need to consult a hematologist for further work up. Thanks and take care Chat Doctor.