Q. Why do I have a bleeding problem and a low hemoglobin level?

Answered by
Dr. Parth R Goswami
and medically reviewed by Dr. Chithranjali Ravichandran
This is a premium question & answer published on Aug 18, 2021

Hello doctor,

I am a 24-year-old female. I have a 8-month-old baby. I am suffering from a thickened uterine lining (18 mm) and experiencing heavy bleeding for the last three months. After using hormonal pills (Ovipauz) for one month, the lining returned to a normal thickness of 6 mm, but I still have heavy bleeding. Meanwhile, my husband got Corona positive. I was tested negative but had all the symptoms. I tried keeping drops of lemon in my nose to relieve the blockage and ended up bleeding from the throat the following day. I visited three E.N.T doctor, and all tests were normal. Doctor advised me to do CBC and two other tests, in which my MHC and MCV are low. Is it normal or anything to concern? I had low hemoglobin during my pregnancy and took iron injections; after delivery, I am having this bleeding problem. I want to know whether my MCV and MHC are normal. Some are saying it to be thalassemia minor.

I am really worried.

Please help.



Welcome to

Following is my opinion for your questions;

In pregnancy, hemoglobin level usually goes down, so do not worry about that.

In the attached reports (attachments removed to protect the patient’s identity), your hemoglobin level is low, along with low PCV (packed cell volume) and low blood indices.

So, it is suggestive of microcytic hypochromic anemia.

There are many causes for microcytic hypochromic anemia like iron deficiency, thalassemia minor, blood loss, chronic disease, etc.

I suggest investigating further with serum iron, ferritin, and other iron parameters investigation as well.

Since you have bleeding history twice, it is advisable to investigate with coagulation parameters like a PTT (partial thromboplastin time) and coagulation factor estimation for further workup.

You can visit a hematologist for a detailed discussion and physical examination accordingly.


Hello doctor,

Thanks for the reply.

My bleeding was due to endometrial hyperplasia. Now it returned to the normal level. Could you please tell me the symptoms of thalassemia minor? When does a person get this condition? I am experiencing this discomfort only after my pregnancy.

Kindly help.



Welcome back to

Following is my further opinion on your question.

Yes, bleeding could be due to endometrial hyperplasia as well. But if the bleeding continued, then a coagulation profile test should be done. You can take a Tranexamic acid tablet if endometrial bleeding continues.

In thalassemia minor, the patient complains of chronic fatigue, dizziness, and severe fall in hemoglobin level like below 7 g/dL, difficulty in breathing can also occur.

However, symptoms of iron deficiency anemia and thalassemia minor are the same as mentioned above.

In thalassemia minor, bleeding is not the main complaint; instead, fatigue is the main complaint.

To rule out thalassemia minor, HPLC (high-pressure liquid chromatography) test should be done.

Let me know if I can assist you further.

Best regards.

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
Will eating raw rice result in low hemoglobin?

Her laboratory test showed iron deficiency anemia and she was diagnosed to have pica ...   Read full

How does severe endometriosis affect pregnancy?

.. obstetrics, gynecological, medical, surgical, and drug history also should be described here to make things more clear. Her MRI or ultrasound report would be helpful for me to explain better. Zoladex is Goserelin acetate, that is, luteinizing hor...   Read full

My nose bleeds often. What could be the reason?

.. the nose is quite common in some people. Some of the most common causes are dryness inside the nose, pollution, picking of the nose, sinusitis, deviated nasal septum, rhinitis, and bleeding disorders. Considering the myriad of causes involved, I ...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Sexual Problems and Depression
Depression is one of the commonest psychiatric problems in the general population. About 10 % of men and more than doubl...  Read more»
Holiday Season During the Pandemic
Most of us wonder if there is a way to celebrate the holiday season during the COVID-19 pandemic safely. Here are some i...  Read more»
Skin Care Tips To Win Over Winter
This article discusses a few tips to manage and protect your skin during winter.  Read more»

Ask your health query to a doctor online?

Ask a Family Physician Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.