Abnormal uterine bleeding (AUB) are common in adolescents and young adults. They may be secondary to inherited bleeding disorders such as von Willebrand disease or platelet function disorders. These conditions are often under-recognized, leading to diagnostic delays and inadequate management. Treatments include hormonal and hemostatic options, tailored to the individual patient's needs and underlying hemostatic disorder. A coordinated approach between gynecologists, pediatricians, and hemostasis specialists is crucial to optimize management and improve patients' quality of life. This article explores the epidemiology, diagnostic approach, and multidisciplinary management of AUB in people with inherited bleeding disorders.