Question

A 40-year-old premenopausal woman presents with fatigue and exertional dyspnoea. Full blood count shows haemoglobin 9.2 g/dL, MCV 72 fL and ferritin 8 µg/L. She reports heavy menstrual bleeding and no other symptoms. What is the most appropriate initial treatment?

Accepted Answer

Oral ferrous sulfate supplementation

Answer

Immediate blood transfusion

Answer

Intravenous iron as first-line

Answer

Erythropoietin injections

Answer

Reassure that this is normal for menstruating women

Practice question

A 40-year-old premenopausal woman presents with fatigue and exertional dyspnoea. Full blood count shows haemoglobin 9.2 g/dL, MCV 72 fL and ferritin 8 µg/L. She reports heavy menstrual bleeding and no other symptoms. What is the most appropriate initial treatment?