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Women in menstruating age group with iron deficiency anaemia usually is from monthly blood loss. Daily oral iron long term is a solution. If any bowel symptoms then can have coeliac antibody test initially. No indication for Hb electrophoresis yet. Free online consultations for age 50 years and older. Best wishes WWW.JGSR-HEALTH-EDUCATION.IN

Consult a hematologist who is a super specialist. They will do detail assessment and guide you further.

Yes

Both your questions are clinically valid. The low MCV, low MCH with high-normal RBC count is a pattern that can be seen in both iron deficiency and thalassemia trait — and since your anaemia has persisted for years despite multiple iron supplements, an HPLC test to rule out beta-thalassemia trait is absolutely warranted. Regarding IV iron — with a ferritin of just 4 ng/ml and documented poor response to oral iron, you are a strong candidate for IV iron infusion, which bypasses gut absorption issues entirely.

Iv  gives better results

Hi, This pattern can involve thalassemia trait or absorption issues, which is why response is poor.IV iron is effective in such cases after proper evaluation. Feel free to consult for further guidance. 👍

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Can help you, kindly consult and provide detailed history for proper diagnosis and further management