A 34-year-old woman presents with fatigue and microcytic anaemia (Hb 100 g/L, MCV 74 fL). Ferritin is 6 µg/L. She has heavy menstrual bleeding but no ...

Question

A 34-year-old woman presents with fatigue and microcytic anaemia (Hb 100 g/L, MCV 74 fL). Ferritin is 6 µg/L. She has heavy menstrual bleeding but no gastrointestinal symptoms. What is the most appropriate initial approach?

Accepted Answer

Start oral iron therapy and address menstrual bleeding

Answer

Arrange urgent colonoscopy and gastroscopy in all cases

Answer

No treatment is needed for ferritin of 6 µg/L

Answer

Start long-term transfusion program

Answer

Start high-dose folic acid only

au-amc MCQ (SBA): Iron deficiency anaemia

A 34-year-old woman presents with fatigue and microcytic anaemia (Hb 100 g/L, MCV 74 fL). Ferritin is 6 µg/L. She has heavy menstrual bleeding but no gastrointestinal symptoms. What is the most appropriate initial approach?