Question

A 26-year-old woman with heavy menses and microcytic anemia is found to have iron deficiency. She asks about screening for other causes. What is appropriate?

Accepted Answer

Screen for celiac disease and consider GI evaluation if not explained by gynecologic sources

Answer

No testing beyond CBC

Answer

Start iron and assume diet is cause

Answer

Bone marrow biopsy

Answer

Test only if ferritin <5 ng/mL

Practice question

A 26-year-old woman with heavy menses and microcytic anemia is found to have iron deficiency. She asks about screening for other causes. What is appropriate?