A 48-year-old premenopausal woman presents with fatigue and exertional dyspnoea. Blood tests show haemoglobin 92 g/L, MCV 72 fL and ferritin 6 µg/L. S...

Question

A 48-year-old premenopausal woman presents with fatigue and exertional dyspnoea. Blood tests show haemoglobin 92 g/L, MCV 72 fL and ferritin 6 µg/L. She has heavy menstrual bleeding. What is the most appropriate initial management?

Accepted Answer

Start oral iron supplementation and investigate for sources of blood loss

Answer

Reassure and repeat full blood count in 6 months

Answer

Arrange immediate red cell transfusion only

Answer

Start erythropoiesis-stimulating agent

Answer

Start long-term intravenous iron without oral trial

au-racgp MCQ (SBA): Iron deficiency anaemia

A 48-year-old premenopausal woman presents with fatigue and exertional dyspnoea. Blood tests show haemoglobin 92 g/L, MCV 72 fL and ferritin 6 µg/L. She has heavy menstrual bleeding. What is the most appropriate initial management?