Iron deficiency anaemia in menstruating females


Q: I am anemic due to menstrual complications (5 months long, obgyn can't find any reason for it). I am short of breath, dizzy, tired, weak, can't go from room to room without feeling like I am going to pass out, and frankly I am scared. My hemoglobin count is 9.1. At what point should I be seriously concerned? Is this level of hemoglobin not really something to worry about?


A:   Iron deficiency anaemia is common in menstruating females, due to excessive loss of blood in heavy periods. Treatment is aimed at identifying the underlying cause and managing blood loss by menstruation in your case. If excessive menstruation is not controlled, you will continue to be anaemic even with adequate intake of iron. Treatment of iron-deficiency anaemia is with oral iron, intravenous iron and blood transfusion. The latter treatments are reserved for those with severe intolerance to oral iron or haemodynamic instability (abnormal pulse and blood pressure). On commencement of iron supplementation the hemoglobin concentration should rise slowly, usually beginning after about one to two weeks of treatment, and will rise approximately 2 g/dL over the ensuing three weeks. The hemoglobin deficit should be halved by about one month and should return to normal by 6 to 8 weeks. A haemoglobin of 9.1g/dL is low but not sufficiently low to warrant transfusion.

Related Q&A

Q: Hi Just had a blood test and have been given result which I don't understand Can you help me please? I have a mean c...

Q: I'm just looking for info on some lab results. Below low ferratin levels. Low mcv,mch,mchc and high rdw levels mean.

Q: Hello Dr actually I did marriage tests so I got a high level of hba2 : 7.5  so the hematologist told me that I ...

Q: Hello Doctor I did a marriage test so it shows in the results that i have thalassemia minor as a carrier. But my fia...

Q: Hi, I have a history of low iron and borderline anemia, but it has been progressively worsening over the last year...


Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon