Is it anemia?
Hello, doctor.
Last week, I went to the hospital for a routine labor health check, and today I received the report.
I found that my blood test results show a red blood cell count of 4.94, hemoglobin of 12.7, hematocrit of 38.6, mean corpuscular volume (MCV) of 78.1, and mean corpuscular hemoglobin (MCH) of 25.7.
Only the MCV and MCH are low, but the recommendations indicate a possible diagnosis of microcytic anemia.
I would like to ask if irregular menstrual periods can also affect anemia? My menstrual cycle is currently about every 3.4 months.
Is this considered mild anemia like what many women experience? Thank you!
Abby, 10~19 year old female. Ask Date: 2018/03/15
Dr. Huang Xunying reply Family Medicine
Microcytic anemia is divided into two types: iron deficiency anemia and thalassemia.
It is possible for iron deficiency anemia to occur due to menstruation, but both types may also coexist.
Therefore, follow-up testing is still recommended.
Reply Date: 2018/03/15
More Info
Hello! Thank you for your question regarding the relationship between irregular menstrual periods and anemia.
Anemia is a condition characterized by a deficiency of red blood cells or hemoglobin in the blood, which can lead to fatigue, weakness, and other health issues. The results of your blood test indicate that you have a low mean corpuscular volume (MCV) and mean corpuscular hemoglobin (MCH), which are suggestive of microcytic anemia. This type of anemia is often associated with iron deficiency, but it can also be seen in conditions like thalassemia or chronic disease.
Irregular menstrual periods can indeed affect your blood health, particularly if you experience heavy menstrual bleeding (menorrhagia). During menstruation, women lose blood, and if the loss is significant, it can lead to a decrease in iron levels and subsequently result in iron deficiency anemia. In your case, since you mentioned that your menstrual cycle is irregular and occurs every 3 to 4 months, it is important to consider how this might be impacting your overall blood health.
When menstruation is irregular, it can sometimes be a sign of underlying hormonal imbalances, which can also affect the production of red blood cells. Conditions such as polycystic ovary syndrome (PCOS) or thyroid disorders can lead to irregular periods and may also contribute to anemia. Additionally, if your periods are heavy, this can exacerbate any existing anemia.
To better understand your situation, it would be beneficial to evaluate your menstrual flow during your periods. If you are experiencing heavy bleeding, it could be a contributing factor to your anemia. It is also important to assess your dietary intake of iron and other nutrients essential for red blood cell production, such as vitamin B12 and folate.
Here are some steps you can take to address your concerns:
1. Consult a Healthcare Provider: It is crucial to discuss your blood test results and menstrual irregularities with a healthcare professional. They may recommend further testing to determine the cause of your anemia and irregular periods.
2. Iron Supplementation: If iron deficiency is confirmed, your doctor may suggest iron supplements or dietary changes to increase your iron intake. Foods rich in iron include red meat, poultry, fish, lentils, beans, and fortified cereals.
3. Monitor Menstrual Health: Keep track of your menstrual cycle, noting the frequency, duration, and heaviness of your periods. This information can help your healthcare provider assess your situation more accurately.
4. Consider Hormonal Evaluation: If irregular periods persist, it may be worthwhile to evaluate your hormonal levels to rule out conditions like PCOS or thyroid dysfunction.
5. Dietary Adjustments: Ensure you are consuming a balanced diet that includes not only iron but also other vitamins and minerals that support blood health. Foods rich in vitamin C can enhance iron absorption, so consider incorporating citrus fruits, tomatoes, and bell peppers into your meals.
In summary, irregular periods can indeed affect your blood health, particularly if they lead to heavy bleeding. It is essential to address both your menstrual irregularities and the potential anemia with the help of a healthcare provider. By doing so, you can work towards improving your overall health and well-being. Thank you for reaching out, and I hope this information helps you on your journey to better health!
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