Question

A 24-year-old woman presents with fatigue and pallor. Hb is 82 g/L with MCV 68 fL, ferritin 6 µg/L. She reports heavy menstrual bleeding but no gastrointestinal symptoms. What is the most appropriate initial management?

Accepted Answer

Start oral iron therapy and address menorrhagia

Answer

Refer for urgent colonoscopy

Answer

Start long-term transfusion programme

Answer

Start high-dose corticosteroids

Answer

No treatment is required

Practice question

A 24-year-old woman presents with fatigue and pallor. Hb is 82 g/L with MCV 68 fL, ferritin 6 µg/L. She reports heavy menstrual bleeding but no gastrointestinal symptoms. What is the most appropriate initial management?