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Heavy menstrual bleeding and Anaemia
I’m a 28-year-old female with recurrent iron-deficiency anemia for several years. My latest tests showed Hb 9.4, MCV 65.84, iron 15.8, transferrin saturation 3.94%, ferritin 7.8 and RDW 17.1%. Vit D 6, Vit B12 187. I’ve needed iron infusions several times, but the anemia keeps returning.
I have heavy periods, especially on day 2, when I sometimes need to change my pad within about 2 hours. I also have fatigue, hair fall, irritability and mood changes.
I’ve had pelvic ultrasounds in the past that did not show anything significant. I was diagnosed with PCOS a few years ago, but no clear cause for the heavy bleeding was found.
Could you please advise:
1. What could be causing the heavy bleeding despite previous normal/insignificant ultrasound findings?
2. Should I repeat a pelvic ultrasound/?
3. What treatment options can reduce the bleeding and prevent my iron deficiency from recurring?
I would like to address the cause of the bleeding rather than repeatedly needing iron infusions.
Answers (8)
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Iron-deficiency anaemia with these numbers alongside heavy periods usually means the ongoing menstrual loss is faster than iron can be replaced. Oral iron alone often struggles to keep up in this situation.
Next Steps
Please book a gynaecologist consultation to address the heavy periods themselves. Options include hormonal management (a Mirena IUD, tranexamic acid) or investigation for a structural cause (fibroids, adenomyosis) with an ultrasound. An IV iron infusion may correct anaemia faster than oral iron.
Health Tips
Please do not treat the anaemia in isolation while the periods stay heavy. Iron tablets alone rarely bring levels up to normal in this pattern.
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Repeat ultrasound scan and hormonal profile
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Do TSH, also do a RPT USG and do a consultation, there maybe some issue.. a polyp or a fibroid... U shud check it and inform
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Repeat USG and hormonal profile required
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Pls connect for online consultation and advice
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Dr. Parru Singh
Gynecologist/Obstetrician
9 yrs exp
Lucknow
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Dr. Neha Vashisth
Obstetrician
14 yrs exp
Jaipur
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.