Question

A 32-year-old woman presents with fatigue and pica. Hb is 90 g/L, MCV 70 fL and ferritin is 8 µg/L. She has heavy menstrual bleeding. What is the most appropriate first-line treatment?

Accepted Answer

Oral ferrous sulfate with dietary advice

Answer

Intravenous iron infusion in all cases

Answer

Vitamin B12 injections

Answer

Erythropoietin therapy

Answer

No treatment if she is coping

Practice question

A 32-year-old woman presents with fatigue and pica. Hb is 90 g/L, MCV 70 fL and ferritin is 8 µg/L. She has heavy menstrual bleeding. What is the most appropriate first-line treatment?