Question

A 45-year-old premenopausal woman presents with fatigue. Blood tests show Hb 96 g/L, MCV 70 fL, ferritin 6 µg/L. She has menorrhagia but no GI symptoms. What is the most appropriate initial management?

Accepted Answer

Start oral ferrous sulphate and investigate the cause of iron loss

Answer

Reassure and repeat haemoglobin in 1 year

Answer

Arrange immediate blood transfusion only

Answer

Start vitamin B12 injections

Answer

Begin erythropoietin therapy

Practice question

A 45-year-old premenopausal woman presents with fatigue. Blood tests show Hb 96 g/L, MCV 70 fL, ferritin 6 µg/L. She has menorrhagia but no GI symptoms. What is the most appropriate initial management?