Question

A 38-year-old woman presents with fatigue and heavy menstrual bleeding. Hb is 90 g/L, MCV 70 fL and ferritin 5 µg/L. What is the most appropriate initial therapy?

Accepted Answer

Oral ferrous sulfate supplementation and investigate cause of menorrhagia

Answer

Immediate red cell transfusion without further evaluation

Answer

Erythropoietin injections

Answer

High-dose vitamin B12 injections

Answer

No treatment required as this is physiological

Practice question

A 38-year-old woman presents with fatigue and heavy menstrual bleeding. Hb is 90 g/L, MCV 70 fL and ferritin 5 µg/L. What is the most appropriate initial therapy?