Is low ferritin linked to prolonged periods after delivery?

Hi,

Welcome to icliniq.com.

I have gone through your query and understand your concern.

Prolonged periods lasting twelve to fourteen days for several years after childbirth, especially with a known small intramural fibroid and low ferritin, are understandably frustrating and likely related. Intramural fibroids, which grow within the uterine wall, can cause heavy or prolonged menstrual bleeding due to their impact on the uterus’s ability to contract properly. Since you are not on any treatment yet, it is important to address both symptom control and the underlying cause.

We typically start with medical options such as Tranexamic acid during periods to reduce bleeding, or hormonal treatments like the combined pill, progestins, or a levonorgestrel-releasing intrauterine device (LNG-IUD) to regulate and lighten periods. These can help stabilize the lining of the uterus and manage bleeding effectively.

Your low ferritin suggests iron deficiency, so iron supplementation is also essential to restore your energy levels and prevent anemia. If medical therapy does not help, we may consider further imaging to assess fibroid size and location, and possibly explore minimally invasive options like hysteroscopic resection or uterine artery embolization, depending on future fertility plans.

I hope my answer cleared your doubt.

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Regards.