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Anemia with secondary infertility
M 37 yrs old taking fertility treatment on progesterone trying to conceive I got my hb done wat shud I do take oral iron or injectable iron
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Hiii
As i can see ur Hb is around 9
Would suggest oral iron prescribed by your doctor if u are not able to tolerate it then we can switch to injections .
But the effect of iron therepy is same on body irrespective oral or injectable
We only prefer injectable when the patient is not able to tolerate oral therepy.
Hope the information was useful
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Depends upon menstruation blood flow . Need to evaluate blood test also. Reach out for further assistance.
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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.
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Both options good.
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Injectable iron is optional
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Syp R.B. tone 10ml morning and evening for 6 to 8 weeks.
Take more of green, leafy vegetables, beetroot, pumpkin, pistachios, almonds, cashews, sesame seeds, flax seeds, fruits like pomegranate, pears, plum.
Use jaggery in place of white sugar.
Repeat Hb. After 6 weeks.
Consult a gynecologist, if progesterone is causing more bleeding.
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Your CBC results show lower hemoglobin mostly iron deficiency.At this time you don't need any injectable iron, rather oral form is good enough.Consider doing serum iron profile to confirm iron deficiency.
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Yes you are having Iron deficiency anemia according to your report and it is common among Indian women in both reproductive and non reproductive age group
Please consult for a better outcome
Health Tips
Take an albendazole tab once in every 6months
Oral supplements and iron rich foods like green leafy vegetables would suffice
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Its mild microcytic anemia try to eat iron rich diet and suppliment and take a consultation with your doctor
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Have iron rich foods in the diet and oral iron tablet are sufficient.
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just in case ur hb is not improving then consult a obstetrician
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Hello,
I am Dr. Romain Rajan, General Physician.
I understand your concern.
â¡ï¸ Low hemoglobin (9.1 g/dL) with small, pale red blood cells suggests iron deficiency anemia, which is common in women trying to conceive.
General Advice:
Take an iron-rich diet: green leafy vegetables, dates, jaggery, pomegranate, beans, lean meat.
Combine iron-rich foods with vitamin C sources (like lemon, orange) for better absorption.
Avoid tea/coffee immediately after meals as they reduce iron absorption.
What to monitor:
Improvement in energy, reduction in fatigue and breathlessness.
Regular follow-up blood tests (Hb, ferritin) every 4â6 weeks.
Watch for constipation or stomach upset with iron supplements.
Medicines:
Usually, oral iron supplements (ferrous ascorbate/fumarate + folic acid) are started first.
Injectable iron is considered if oral iron is not tolerated, not effective, or if rapid correction is needed (very low Hb or urgent fertility procedure).
When to consult doctor immediately:
Severe weakness, dizziness, or fainting.
Persistent vomiting, black stools, or abdominal pain with iron tablets.
No improvement in hemoglobin after 1 month of treatment.
If your symptoms persist or worsen, I strongly recommend consulting your fertility specialist for proper evaluation and tailored treatment.
You can connect with me directly on Practo or reach me on WhatsApp (85271646 seven seven) for a more personalized consultation.
Best regards,
Dr. Romain Rajan
General Physician
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Oral IFA is sufficient
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Oral supplements are enough
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Dr. Tejas Kaswan
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Ayurvedic Endocrinologist & Internal Medicine Specialist
1 yrs exp
Jaipur
Oral Iron supplements are enough if Hb is not increasing then consult your gynaecologist
Next Steps
Eat leafy vegetables and iron rich diet
Health Tips
Avoid Tea while taking iron supplements
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Oral supplement is enough along with iron rich diet like beetroot,pomegranate,spinaches. Take one dose of albendazole before starting iron supplement
Next Steps
Repeat Hb after one month
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Oral iron is a better choice and also the daily dietary supplements like green leafy vegetables, dry fruits and chikki.
Next Steps
if the Hb doesn't improve then you might need some extra tests.
Health Tips
with oral iron you might have constipation and a bit of Gastritis. it is always better to take oral iron with Vit C tablets and avoid taking it with milk.
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Oral suppliments and good nutritious diet with green leafy vegetables, jaggery instead of white sugar , beetroot,apples etc. can help
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Hello this is Dr Ishu Parashar.
Oral IFA (iron folic acid) tablets should be fine for you as Hb is mildly low.
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Oral supplements are enough...
Iron profile ?
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you can consult here in practo or you can text me on nine7476zero8386 for further assistance.. I can help you
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Start oral iron folic acid supplementation
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nothing to worry much
it will take time but you will get better, more energetic with time
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Dr. Ansh Agrawal
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Ayurvedic Endocrinologist & Internal Medicine Specialist
1 yrs exp
Jaipur
Your Hb is moderate decrease so u take oral iron supplements
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Take Oral Iron
No need to worry much
Keep in touch with your gynecologist
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Your hb is in slightly lower side . Take oral supplements as advised for 30 days.
Next Steps
Repeat HB% after 1 month.
Health Tips
Have plenty of green leafy vegetables in your meal. Thank you
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Dr. Vinod Kumar Verma
General Physician
9 yrs exp
Gurgaon
-According to your query and sign and symptom you want to know about the cause and Treatment of disease as you have mentioned as above as -
-Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history.
Please follow good life style as
• take plenty of fluid and
• take less spicy and fatty foods and
• take home made food only and
do exercise regularly with yoga and meditation and
• keep positive attitude to fight any disease and any problem of your life . ...
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Dr. Nimmi Mulwani
General Physician
10 yrs exp
Ahmedabad
Both options are good.
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Dr. Aeman Gazdhar
General Practitioner
1 yrs exp
Indore
Please consult your gynaecologist.
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Dr. Shaikh Huzaif
General Physician
18 yrs exp
Aurangabad
Please consult
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Dr. Zaheer Ahmad
General Physician
9 yrs exp
Bareilly
Yes that should be started under observation
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Dr. Faizan Khan
General Physician
3 yrs exp
Bhopal
Get Iron profile done - Serum Ferritin Transferrin TIBC and then consult
Since you’re planning to conceive or already pregnant replenishing those iron stores fast is must
You can get an FCM 500mg injection then continue with Oral Iron Folic acid supplements
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Dr. Firdose
Ayurvedic Endocrinologist & Internal Medicine Specialist
3 yrs exp
Hyderabad
Iron rich diet , and oral iron tablets and folic acid also have to be taken ..
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Dr. Manaswi Shamsundar
General Practitioner
Pune
Oral iron is enough hb is only 9
Ferrous sulphate and folic acid tablets once daily for atleast a month would be enough
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Dr. Marini Vanitha
General Physician
12 yrs exp
Kakinada
Take oral iron supplements.
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Injection
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Take oral supplements
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