Question

A 28-year-old woman presents with fatigue and heavy menstrual periods. Blood tests show Hb 92 g/L, MCV 70 fL and serum ferritin 6 µg/L. Coeliac serology is negative. What is the most appropriate initial management?

Accepted Answer

Oral ferrous iron supplementation and treatment of menorrhagia

Answer

Immediate red blood cell transfusion

Answer

Intravenous iron in all cases

Answer

Folate supplementation alone

Answer

No treatment; repeat blood tests in 6 months

Practice question

A 28-year-old woman presents with fatigue and heavy menstrual periods. Blood tests show Hb 92 g/L, MCV 70 fL and serum ferritin 6 µg/L. Coeliac serology is negative. What is the most appropriate initial management?