A 45-year-old woman with long-standing heavy menstrual bleeding presents with fatigue. Haemoglobin is 88 g/L with microcytosis and low ferritin. She i...

Question

A 45-year-old woman with long-standing heavy menstrual bleeding presents with fatigue. Haemoglobin is 88 g/L with microcytosis and low ferritin. She is haemodynamically stable. What is the most appropriate initial iron replacement strategy?

Accepted Answer

Oral iron therapy with counselling on adherence and side effects

Answer

Red blood cell transfusion to target haemoglobin >130 g/L immediately

Answer

No treatment; repeat haemoglobin in 6 months

Answer

Immediate intravenous iron in all such cases

Answer

Erythropoietin injections

ca-mccqe1 MCQ (SBA): Iron deficiency anaemia - treatment

A 45-year-old woman with long-standing heavy menstrual bleeding presents with fatigue. Haemoglobin is 88 g/L with microcytosis and low ferritin. She is haemodynamically stable. What is the most appropriate initial iron replacement strategy?