Are My Blood Test Results Normal? A Guide for Women - Family Medicine

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I would like to inquire if this value is normal?


Hello, doctor.
I recently had some tests done and would like to inquire if the following values are considered normal.
I am a 26-year-old female.
Thank you! 🙏
Red Blood Cells (RBC): 5.61 million/uL
Hemoglobin (Hb): 14.4 g/dL
Hematocrit (Hct): 45.8%
Mean Corpuscular Volume (MCV): 83.1 fL
Mean Corpuscular Hemoglobin (MCH): 26.1 pg
Mean Corpuscular Hemoglobin Concentration (MCHC): 31.4 g/dL

Yumei, 20~29 year old female. Ask Date: 2018/04/27

Dr. Chen Bozhang reply Family Medicine


Dear Ms.
Yumei,
Your complete blood count shows that your hemoglobin level is normal, but your mean corpuscular volume (MCV) is at the lower end of the normal range.
Additionally, your red blood cell count (RBC) is elevated, which may indicate a predisposition to thalassemia or iron deficiency anemia; however, it has not caused a decrease in hemoglobin levels and does not affect physiological function.
It is recommended that you visit a family medicine or general internal medicine clinic for further testing of iron studies and hemoglobin electrophoresis to clarify whether either of these conditions is present.
Sincerely,
Dr.
Chen Bozhang
Department of Family Medicine, Keelung Hospital, Ministry of Health and Welfare

Reply Date: 2018/04/27

More Info


When interpreting blood test results, especially for women, it's essential to understand the context of each parameter and how they relate to overall health. Based on the values you've provided, let's break down each component:
1. Red Blood Cells (RBC): Your value of 5.61 million/uL is within the normal range for adult females, which typically falls between 4.2 to 5.4 million/uL. Elevated RBC counts can sometimes indicate dehydration, smoking, or other medical conditions, but your result is slightly above the upper limit, which may warrant further investigation if accompanied by other symptoms.

2. Hemoglobin (Hb): At 14.4 g/dL, your hemoglobin level is also within the normal range for women, which is generally between 12.1 to 15.1 g/dL. Hemoglobin is crucial as it carries oxygen from the lungs to the rest of the body. A low hemoglobin level can indicate anemia, while a high level can suggest dehydration or other conditions.

3. Hematocrit (Hct): Your hematocrit level of 45.8% is slightly elevated compared to the normal range for women, which is typically 36% to 46%. Hematocrit measures the proportion of blood volume that is made up of red blood cells. An elevated hematocrit can be due to dehydration or other factors, similar to RBC counts.

4. Mean Corpuscular Volume (MCV): Your MCV of 83.1 fL is within the normal range (80 to 100 fL). This measurement indicates the average size of your red blood cells. Normal MCV suggests that your red blood cells are of average size, which is a good sign.

5. Mean Corpuscular Hemoglobin (MCH): At 26.1 pg, your MCH is also within the normal range (27 to 31 pg). This value indicates the average amount of hemoglobin per red blood cell. A low MCH can indicate iron deficiency anemia, while a high MCH can be seen in macrocytic anemias.

6. Mean Corpuscular Hemoglobin Concentration (MCHC): Your MCHC of 31.4 g/dL is within the normal range (32 to 36 g/dL). This measurement reflects the average concentration of hemoglobin in a given volume of red blood cells. A low MCHC can indicate hypochromic anemia, while a high MCHC can be seen in conditions like spherocytosis.


Summary and Recommendations:
Overall, your blood test results appear to be mostly within normal ranges, with a slight elevation in RBC and hematocrit levels. This could be due to several factors, including hydration status, physical activity, or even altitude. It’s important to consider these results in conjunction with any symptoms you may be experiencing, such as fatigue, weakness, or any other health concerns.

If you have any symptoms or if your healthcare provider has concerns about your elevated RBC and hematocrit levels, it may be advisable to follow up with additional tests or evaluations. Staying hydrated, maintaining a balanced diet rich in iron and vitamins, and regular check-ups can help ensure your blood health remains optimal.

Always consult with your healthcare provider for personalized advice and to discuss any concerns you may have regarding your health and these test results. They can provide context based on your medical history and any symptoms you may be experiencing.

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