Question

A 32-year-old woman presents with fatigue and heavy menstrual bleeding. Her haemoglobin is 95 g/L, MCV 70 fL and ferritin 5 micrograms/L. She is haemodynamically stable. What is the most appropriate initial treatment?

Accepted Answer

Oral ferrous iron supplementation and address menorrhagia

Answer

Intravenous iron infusion immediately

Answer

Red blood cell transfusion

Answer

No treatment is needed as this is physiological

Answer

Folate supplementation only

Practice question

A 32-year-old woman presents with fatigue and heavy menstrual bleeding. Her haemoglobin is 95 g/L, MCV 70 fL and ferritin 5 micrograms/L. She is haemodynamically stable. What is the most appropriate initial treatment?