HomeAnswersHematologyheavy bleedingShould I consult a doctor for heavy menstrual bleeding?

Should I visit the doctor for my heavy menstrual bleeding?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At August 5, 2022
Reviewed AtOctober 8, 2023

Patient's Query

Hi doctor,

I had some blood work done but have not gotten a call back from my doctor yet. My iron was 19 ug/dl, and my iron saturation was 5%. Since then, I have had heavy menstrual bleeding, and it has not stopped. I feel awful. I am unsure if this is relevant, but I also have terrible upper back pain, mainly around the spine. I am so tired that I do not even want to move. I have always had issues with low iron, and I used to get iron infusions for a few weeks once a year. Is this worrisome enough to go to a hospital, or should I wait and call the doctor's office on Monday? Kindly give your suggestions.

Hi,

Welcome to icliniq.com.

I went through your query and understood your concern. As for iron deficiency, it needs years to be corrected if you take oral preparations. Iron preparations should be taken on an empty stomach, preferably before breakfast. I prefer the injectable first and then switching to oral preparations. At your iron status, you need 1500 mg of iron through an injectable route (attachment removed to protect the patient's identity). It should be completed in a fortnight before being switched to oral preparations.

Regarding your heavy menstrual bleeding and keeping your weight in view, you need to rule out PCOS (polycystic ovarian syndrome). If that is the case, I suggest you need HRT (hormone replacement therapy) and consultation with a local gynecologist. You have a high alkaline phosphatase level for your back pain to rule out vitamin D deficiency. To begin with, I suggest you to start a locally available calcium and vitamin D complex multivitamin supplement.

There are a fraction of immature granulocytes on the CBC (complete blood count) report, ignore it. It is not clinically abnormal. Up to 2% is normal in normal individuals, and up to 8% is normal in cases of bacterial infections. Also, your urea levels are a little high, but GFR (glomerular filtration rate), creatinine, and electrolytes are normal. I suggest you to drink plenty of water, around three to five liters a day, and repeat the urea test.

I hope everything is clear.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Mubashir Razzaq Khan
Dr. Mubashir Razzaq Khan

Hematology

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