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Ferritin at 8ng/dl
My ferritin is always low, I'm supplementing with heme iron 36mg, but I get heavy periods and i end up losing lots of blood and iron, hence I nvr recover. I have heard of iron transfusions which help raise iron quickly. Need hematologist recommendation.
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Consult gynecologist and treat the cause
Next Steps
Do CBP and iron profile
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Hello
You’re absolutely right — in women with heavy menstrual bleeding (menorrhagia), low ferritin and iron deficiency anemia can become a chronic, recurring issue, even if you’re taking oral iron regularly. This happens because your iron loss each month exceeds absorption from supplements.
Let’s clarify your options:
1. Oral iron:
Heme iron is good and better absorbed than regular ferrous salts, but with ongoing blood loss, it often can’t restore ferritin quickly. You can continue it as maintenance after correction.
2. Intravenous (IV) Iron Infusion:
Yes, iron infusions (e.g., Ferric Carboxymaltose, Iron Sucrose) are very effective and safe when given under medical supervision. They can raise hemoglobin and ferritin within 1–2 weeks, bypassing gastric side effects and absorption issues.
Usually, 1–2 infusions (500–1000 mg each) are enough to replenish stores for months.
3. Managing heavy periods:
Along with replenishing iron, we must address the root cause of heavy bleeding — hormonal imbalance, fibroids, or endometrial causes. A short hormonal course or non-hormonal options like Tranexamic acid during periods can significantly reduce monthly blood loss and prevent recurring anemia.
4. Investigations you’ll need:
CBC, Ferritin, TIBC
Thyroid profile
Pelvic ultrasound (to rule out uterine causes)
Once we review your reports, we can plan a combined approach — correcting iron levels and controlling menstrual bleeding so the problem doesn’t return every month.
You can message me directly on WhatsApp at nine three two six zero two zero five three six for a quick review of your reports and personalized infusion plan. I’ll guide you on which iron preparation suits you best and how to maintain your ferritin long-term.
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For a 41-year-old female from Mumbai with chronic low ferritin and heavy menstrual bleeding despite taking heme iron 36 mg daily, this likely indicates iron deficiency secondary to blood loss. Oral iron may not fully correct the deficiency when losses are continuous or absorption is poor. In such cases, intravenous (IV) iron infusion is an effective and safe option. It replenishes iron stores faster, raises ferritin within 1 to 2 weeks, and avoids stomach irritation from tablets.
Common preparations include ferric carboxymaltose or iron sucrose, given under medical supervision after checking hemoglobin, ferritin, and kidney function. Mild fever or body ache can occur, but serious reactions are rare. At the same time, heavy periods should be evaluated by a gynecologist for fibroids, thyroid imbalance, or hormonal causes so that iron loss can be controlled.
You can consult a hematologist or internal medicine specialist in Mumbai experienced with IV iron therapy for assessment and infusion scheduling. For a detailed correction and maintenance plan, discuss your latest blood reports with me directly here on Practo so that your case can be reviewed and treated safely.
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See, the menstrual cycle is part of women's normal body cycle. Hence the loss of blood and iron will be always there. So keep taking medicines and if any queries, kindly consult with me on 94 two six eight six 78 nine six.
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Yes if the anemia is severe or oral iron is not tolerated then would recommend it
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Consult online we can discuss about this
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U r towards maenaupose so its normal.
U can. Fulfill by haem iron..
U can go for iron infusion no problem.
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Can i also know haemoglobin levels
So that we can recommend the iron dose
You could also try higher dose iron tablet
Try orofex xt one tablet daily
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If you want to discuss your problem in more detail, feel free to message me on Whats App at nine one one nine two five five six nine nine for free detailed discussion
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Hello,
Low ferritin with heavy periods indicates ongoing iron loss faster than replacement. Oral iron (heme iron 36 mg) may not fully compensate in such cases. IV iron infusion (iron sucrose or ferric carboxymaltose) can help raise iron stores faster and is often used when oral iron fails or is not tolerated.
Next steps:
Get recent CBC, ferritin, iron profile, and menstrual history evaluation.
Consult at 9555968one68 to assess the cause of heavy bleeding and plan iron infusion if needed.
Maintain good hydration and take iron-rich diet along with supplementation.
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Injectables do give a quick response but you have a greater risk of allergic reactions. I personally prefer oral medicine over injections
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Kindly consult
We can discuss there
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Need few more details
Kindly consult
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Needs to be evaluated
Do consult
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Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
Go for iron injection
Inj fcm
Start cap haemup
Consult online will guide you further
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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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