A 45-year-old premenopausal woman has microcytic anaemia (Hb 9 g/dL, low MCV, low ferritin). She reports heavy menstrual bleeding but no GI symptoms. ...

Question

A 45-year-old premenopausal woman has microcytic anaemia (Hb 9 g/dL, low MCV, low ferritin). She reports heavy menstrual bleeding but no GI symptoms. What is the most appropriate initial management?

Accepted Answer

Start oral ferrous sulphate and arrange investigation for possible causes including heavy menstrual bleeding and consider coeliac screening

Answer

Reassure; no treatment needed

Answer

Arrange urgent colonoscopy only

Answer

Start blood transfusion in all cases

Answer

Iron injections as first-line

uk-plab-1 MCQ (SBA): Iron-deficiency anaemia

A 45-year-old premenopausal woman has microcytic anaemia (Hb 9 g/dL, low MCV, low ferritin). She reports heavy menstrual bleeding but no GI symptoms. What is the most appropriate initial management?