Period FAQs

how to treat anemia during period

by Rosalyn Kirlin Published 2 years ago Updated 1 year ago
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Medications commonly prescribed for the treatment of menorrhagia include:

  • Iron supplements to treat the iron deficiency anemia
  • Oral contraceptives for the regulation of menstrual cycle, especially in cases of an irregular menstrual cycle, as well as, to decrease the duration and quantity of menstrual bleeding
  • Oral progesterone for the treatment of hormonal imbalance as one of the causes of menorrhagia

Your treatment may include iron pills. Iron helps your body make hemoglobin. Hemoglobin is the part of the red blood cell that carries oxygen. If you have severe anemia, you may need a blood transfusion to give you red blood cells as quickly as possible.

Full Answer

Is it normal to get anemic on your period?

Iron deficiency anemia from heavy menstrual periods is very common. In women of childbearing age, it is the most frequent cause of iron deficiency anemia. 1  Heavy menstrual bleeding is estimated to affect up to a third of premenopausal women, and some of these women are at risk of iron deficiency anemia, which can cause symptoms like fatigue.

Does being on your period make your anemia worse?

Women who suffer from heavy menstrual periods are more prone to forms of anemia where red blood cells are lost to bleeding. Women with anemia due to blood loss may be left feeling tired, weak, and possibly even out of breath. One sign your period is abnormally heavy is if you’re going through a tampon or pad every hour for a few consecutive hours.

Does being anemic affect your period?

feeling weak or tired when you have your period not being able to do the things you would normally do However, anemia from heavy menstrual bleeding depends on many factors, including your diet and...

Can my period be the cause of my anemia?

So, to the question of periods causing women to become anemic, the answer is yes. The possibility of periods leading to anemic conditions in a woman is greater when the woman experiences menorrhagia, or the heavy flow of menstrual blood. The more blood is lost during a period, the greater the amount of iron that the body loses.

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What helps with anemia from periods?

What steps can you take to prevent anemia from heavy periods?Eat foods that are good sources of iron. Foods that are high in iron include red meat, spinach, legumes, shellfish, turkey, and quinoa.Eat foods that help with iron absorption. ... Limit coffee and tea at meal times. ... Pay attention to calcium pills.

What happens if you are anemic and on your period?

If you have consistently heavy bleeding during your menstrual period, it's possible to suffer anemia. Your iron levels can go down from the blood loss during your period, leaving you feeling depleted and fatigued. Anemia is a medical condition that develops when your body doesn't have enough red blood cells.

Can I take iron pills while on my period?

Intermittent iron supplementation in menstruating women may be an effective intervention for reducing anaemia and improving haemoglobin concentrations compared to no treatment, placebo or daily supplementation. Intermittent supplementation may be associated with fewer side effects compared to daily supplementation.

Do iron pills make your period lighter?

Iron pills don't make periods lighter, but supplementation is still a sensible idea to replenish the iron stores in the body. Of 236 women treated for heavy menstrual bleeding, one year of iron supplementation increased their hemoglobin levels, reduced anxiety and depression, and improved their daily energy.

Can anemia cause weight gain?

Iron-deficient people experience low energy levels and sudden weight gain because of an underactive thyroid gland.

How much iron is lost during a period?

In conclusion, healthy women with normal menses lose, on average, 1 mg iron/cycle. Average iron losses in patients with menorrhagia are, at least in our cohort, on average, five-to-six times higher than normal.

Do iron pills make you gain weight?

Weight gain related to iron therapy is a common problem in female patients with iron deficiency anemia. Patients under iron therapy should be counseled in terms of weight gain complication and benefits of diet and followed up serum ferritin and Hgb levels to prevent prolonged iron therapy.

How quickly do iron tablets work?

Most people begin to feel better after around 1 week, but it may take up to 4 weeks for the medicine to have full effect. If you are taking ferrous sulfate to prevent anaemia you probably will not feel any different but that does not mean it is not working.

Can anemia cause longer periods?

Iron deficiency anemia is of particular concern because it leads to fatigue and shortness of breath as well as poor school and job performance. Iron deficiency and heavy periods are too often ignored but can be signs of an underlying bleeding disorder. Both are easily treated once the diagnosis is made.

Can anemia delay your period?

Anemia and iron deficiency If a woman is deficient in iron or faces problems absorbing iron properly, it could impact blood flow in the body, and as a consequence make you miss periods, or have them fairly late.

How much iron does a woman lose during her period?

In conclusion, healthy women with normal menses lose, on average, 1 mg iron/cycle. Average iron losses in patients with menorrhagia are, at least in our cohort, on average, five-to-six times higher than normal.

Does iron pills make period heavier?

It's important to remember that iron supplements and food changes won't affect an underlying cause of excess bleeding.

Why do women need iron during their periods?

These two periods are a special condition for a woman’s body. First, during pregnancy, the woman’s body needs to support the growth of a new life inside her body , so there is normally an increased need for iron. A pregnant woman needs 2 to 3 times more iron compared to the time when she is not pregnant, so developing an iron deficiency is quite ...

What Are the Symptoms of Anemia?

On the other hand, in cases of severe blood loss for a short period of time, the symptoms become noticeable immediately. Symptoms of anemia due to menstrual periods usually become noticeable after weeks, months, or years. Common signs and symptoms of iron deficiency anemia include:

What causes heavy bleeding during menstruation?

Certain medical conditions affecting the genitourinary system can lead to heavy menstrual bleeding, over 80 ml of blood during a menstrual period, such as uterine polyps, adenomyosis, uterine fibroids, bleeding disorders, etc. On the other hand, if a woman is pregnant or breastfeeding, she has greater risks of developing iron deficiency anemia.

How do you know if you have anemia?

How do you know you have anemia and menstruation? Anemia and especially iron deficiency anemia can develop for a prolonged period of time. It might take years for the first symptoms to become noticeable. On the other hand, in cases of severe blood loss for a short period of time, the symptoms become noticeable immediately. Symptoms of anemia due to menstrual periods usually become noticeable after weeks, months, or years. Common signs and symptoms of iron deficiency anemia include: 1 Lightheadedness 2 Tiredness 3 Weakness 4 Poor concentration 5 Heart palpitations 6 Cold intolerance 7 Skin paleness 8 Brittle nails 9 Hair loss 10 Chapping at the corner of the mouth, 11 Poor circulation

What causes a woman to lose more than 80 ml of blood during her period?

Women who lose more than 80 ml of blood with every menstrual period are more likely to develop this kind of anemia related to menstruation. Now you know how anemia and menstruation related, but what can lead to heavy menstrual bleeding? Certain medical conditions affecting the genitourinary system can lead to heavy menstrual bleeding, over 80 ml of blood during a menstrual period, such as uterine polyps, adenomyosis, uterine fibroids, bleeding disorders, etc.

What happens if you lose iron during your period?

If this iron which is lost with menstrual bleeding is not replaced from the meals that you consume or from iron supplement medications, you will end up eventually with an iron deficiency anemia. Women who lose more than 80 ml of blood with every menstrual ...

What is nonheme iron?

Nonheme iron is iron originating from plant sources such as beans, grains, kale, beet, lentils, oats, wheat, tofu, etc. This type of iron is not absorbed that much compared to heme iron. Limit the intake of coffee or tea immediately after a meal as they can reduce the absorption of nonheme iron from the digestive system.

Why do women have anemia?

In general, many women experience anemia because of heavy menstrual periods that cause their iron levels to fall. Overall, women are at higher risk of anemia than men. Specific high risk groups include the elderly, Hispanic women, women of color, people with chronic illness, and women of childbearing age. Here we’ll get into the specifics of anemia and the ways in which menstruation can affect and contribute to anemia.

How to tell if you have anemia?

Though these symptoms will vary depending on the form of anemia, its severity, and the cause. Please speak with your doctor if you’re experiencing multiple symptoms and suffering from a heavy menstrual period. Your physician will be able to carry out further testing to determine if you are suffering from anemia. These tests are likely to include a physical exam, medical history, and blood work that assesses your levels of red and white blood cells, hemoglobin, and platelets.

Why is iron deficiency anemia bad?

Not having enough iron in the body is problematic because it’s needed to produce hemoglobin for red blood cells. While this form of anemia can arise from a number of factors, including diet, menstruation is a common contributor. Women of childbearing age are at a higher risk for this form of anemia due to blood loss during menstruation and the increased demands on blood supply during pregnancy. People suffering from iron-deficiency anemia may experience strange cravings, such as for paper, dirt, or ice.

Should I be Worried About Anemia?

Whether you should worry about anemia depends on the situation. Anemia that develops during pregnancy affects up to 40% of pregnant women and is often seen as normal. For women who are considering becoming pregnant, doctors will usually recommend supplements including iron and folate. And anemias due to blood loss and iron-deficiency can usually be treated with iron supplements and even dietary adjustments. However, some forms of anemia can be much harder to treat and require procedures such as blood transfusions and bone marrow transplants.

What is the treatment for hemolytic anemia?

Sickle cell anemia. Treatment might include oxygen, pain relievers, and oral and intravenous fluids to reduce pain and prevent complications. Doctors might also recommend blood transfusions, folic acid supplements and antibiotics.

How to treat iron deficiency?

Iron deficiency anemia. Treatment for this form of anemia usually involves taking iron supplements and changing your diet. If the cause of iron deficiency is loss of blood — other than from menstruation — the source of the bleeding must be located and the bleeding stopped. This might involve surgery. Vitamin deficiency anemias.

What is the normal hemoglobin level for men?

Normal adult hemoglobin values are generally 13.6 to 16.9 grams per deciliter for men and 11.9 to 14.8 grams per deciliter for women.

What is the treatment for thalassemia?

Most forms of thalassemia are mild and require no treatment. More severe forms of thalassemia generally require blood transfusions, folic acid supplements, medication, removal of the spleen, or a blood and bone marrow stem cell transplant.

What is the treatment for folic acid deficiency?

This might involve surgery. Vitamin deficiency anemias. Treatment for folic acid and vitamin C deficiency involves dietary supplements and increasing these nutrients in your diet. If your digestive system has trouble absorbing vitamin B-12 from the food you eat, you might need vitamin B-12 shots.

What is CBC in anemia?

A CBC is used to count the number of blood cells in a sample of your blood . For anemia, your doctor will be interested in the levels of the red blood cells contained in your blood (hematocrit) and the hemoglobin in your blood. Normal adult hematocrit values vary among medical practices but are generally between 40% and 52% for men and 35% ...

Can anemia be treated?

Anemia of chronic disease . There's no specific treatment for this type of anemia. Doctors focus on treating the underlying disease. If symptoms become severe, a blood transfusion or injections of a synthetic hormone normally produced by your kidneys (erythropoietin) might help stimulate red blood cell production and ease fatigue.

Why is it important to treat anemia early?

Anemia can cause unpleasant symptoms and impact your quality of life, which is why it’s so important to diagnose and treat it as early as possible. This article will help you recognize excessive blood loss during periods and learn how to deal with periods and anemia.

How to keep hemoglobin up during periods?

One of the easiest ways to keep your hemoglobin levels up is by eating iron-rich foods. Some of the best sources of dietary iron include: Red meat. Poultry.

How will I know if I’m anemic?

If you suspect that you are suffering from excessive menstrual bleeding and anemia, you’ll need to go to the doctor.

What causes a person to bleed?

Blood loss: there are many conditions that can cause bleeding, and you might not even notice them. Erosive gastritis, duodenum /gastric ulcers, and intestinal polyps can cause gastrointestinal bleeding. Uterine fibroids and endometriosis can also cause bleeding. In fact, anemia and endometriosis are closely related.

What is the most common type of anemia?

Iron deficiency anemia is the most common type of anemia. You can develop this iron deficiency on your period, but there are other things that can cause low iron levels.

What are the complications of anemia during pregnancy?

Pregnancy complications: suffering from anemia throughout a pregnancy can lead to low infant weight, premature labor, and even infant death. Anemic children can also suffer from developmental delays, increased risk of infections.

What happens if you lose more blood during your period?

If you’re losing more blood than normal during your periods, you lose iron. This makes your hemoglobin (Hb) drop and causes iron deficiency anemia.

What is postpartum anemia?

Postpartum anemia occurs primarily due to inadequate iron intake before and during pregnancy, and blood loss during delivery. In other words, the combination of iron deficiency anemia and hemorrhagic anemia leads to postpartum anemia. Postpartum anemia has been associated with depression, stress, anxiety, cognitive impairment, decreased mother-infant attachment, and infant developmental retardation. The Hb concentration must be checked in patients with excessive blood loss during delivery and/or in those with puerperal symptoms of anemia. A postpartum Hb concentration ≤10 g/dL indicates clinically significant anemia. Moderate-to-severe anemia is considered when Hb is between 9-10 g/dL and an Hb concentration ≤9 g/dL is considered severe anemia(17,18,27,31,32,33,34). It is not meaningful to measure the serum level of ferritin, an acute phase reactant, because it can be normal or elevated during the first 6 weeks post delivery (Figure 2).

How many articles were screened for iron deficiency anemia?

The members of the working group reviewed the studies and guidelines on the diagnosis and treatment of iron deficiency anemia published in Turkish and international journals. About 200 literature articles were screened. Search terms were iron deficiency anemia, pregnancy, postpartum period, and parenteral iron therapy. Sources about iron deficiency prophylaxis and oral iron therapy were excluded because the focus was iron deficiency anemia and parenteral iron therapy. The included sources were listed in references part. With the data from the reviewed literature and the working group’s own experiences, conclusive recommendations were made as a scientific consensus.

What are the symptoms of iron deficiency?

The major signs and symptoms of iron deficiency anemia can be summarized as fatigue, low physical and mental capacity, headache, vertigo, leg cramps, pagophagia, cold intolerance, koilonychias, mucosal paleness, and angular stomatitis. Iron deficiency anemia during pregnancy poses a number of maternal and fetal problems, including premature birth, intrauterine developmental retardation, placental problems, a decrease in newborn iron storage, the risk of a decrease in maternal blood reserves during birth, and the need for transfusion in cases of heavy blood loss, cardiac stress, symptoms of anemia, prolonged hospital stay, decreased maternal breast milk production, and maternal depletion of iron stores during and after the postpartum period. As such, diagnosis and effective treatment of iron deficiency anemia are of critical importance(19,20,21,22).

How many people are affected by anemia?

According to the World Health Organization (WHO), anemia affects approximately 1.5 billion people worldwide. The prevalence is very high in Africa, Asia, India, Latin America, Eastern Europe, and China; however, it is also high in developed countries(1,2).

When should ferritin be measured?

It is recommended to measure serum ferritin at least once early in pregnancy. If ferritin and hemoglobin indicate iron deficiency anemia, anemia treatment should be initiated (note that intravenous iron is not warranted for the use in first trimester); if ferritin and hemoglobin levels are normal, prophylactic oral iron therapy should be commenced. It is not necessary to measure serum ferritin again later in pregnancy unless the symptoms of anemia occur. On the other hand, Hb should be measured in each trimester because the probability of an increase in the need for iron and development of iron deficiency is always possible, even if the baseline value is normal. Moreover, the Hb concentration during delivery is important because a low maternal Hb can result in fetal problems, including mortality(1,17,23,24,25,26,27).

Is IV iron therapy more expensive than oral iron therapy?

IV iron therapy is not associated with oral and IM iron therapy problems and is a more cost-effective option. IV preparations are more expensive than oral preparations, but the total cost of oral treatment becomes equivalent to IV treatment because repeated administrations are needed in oral treatment. Additionally, the patient has the initiative in oral administration and that makes it difficult to monitor how many doses the patient has actually received; if the patient is not receiving the tablets, the physician prescribes more and more oral preparations to treat the patient so the cost increases and becomes even more than IV treatment. The risk of premature birth, the most serious risk associated with anemia during pregnancy, increases in patients with anemic who are not treated. The cost of care for a premature baby far exceeds that of IV iron treatment, which is why interest in IV iron therapy is gradually increasing(50,51,52,53).

Can you get blood transfusions for heavy bleeding?

Heavy menstrual bleeding is another condition that can require blood transfusion. Although a precise definition of this clinical condition is lacking, according to the National Institute for Health and Care Excellence (NICE) guidelines, it corresponds to a volume of bleeding that causes health problems and social discomfort, roughly 80 mL/per period. Here too, an indication for IV iron therapy can be mentioned because such patients face the risk of transfusion and this process is likely to progress to hysterectomy(43,44,45).

What Is Iron Deficiency Anemia?

Anemia is a medical condition in which you have a lower concentration of red blood cells in your blood than normal. It can have many different underlying causes, including genetic diseases, vitamin deficiencies, drug side effects, autoimmune diseases, and radiation and chemotherapy treatments. 3

Why do you need to be checked for iron deficiency anemia?

Sometimes an individual is checked for iron deficiency anemia because they are reporting heavy menstrual bleeding or other abnormal bleeding. Other times, a person might need to be checked for gynecological causes if they are found to have iron deficiency anemia.

What is the most common cause of iron deficiency anemia?

In women of childbearing age, it is the most frequent cause of iron deficiency anemia. 1  Heavy menstrual bleeding is estimated to affect up to a third of premenopausal women, and some of these women are at risk of iron deficiency anemia, which can cause symptoms like fatigue. In the U.S., around 4% of women of reproductive age have iron ...

What causes a uterine bleed?

Abnormal uterine bleeding can be caused by many different medical problems. Some of these include: 1 Disorders of ovulation (such as polycystic ovary syndrome) 2 Infection (such as in pelvic inflammatory disease) 3 Thyroid disorders 4 Kidney disease 5 Endometriosis 6 Uterine fibroids, polyps, or cancer 7 Inherited genetic disorders of blood coagulation 8 Drug side effects (such as from some antipsychotic drugs) 9 Hormonal contraceptive side effect 10 Copper-based intrauterine contraceptive device side effect (like Paragard) 6 

What is the condition where you have a lower concentration of red blood cells?

Anemia is a medical condition in which you have a lower concentration of red blood cells in your blood than normal. It can have many different underlying causes, including genetic diseases, vitamin deficiencies, drug side effects, autoimmune diseases, and radiation and chemotherapy treatments. 3 .

What is the blood count of a non-pregnant woman?

In non-pregnant women, anemia is defined as a hemoglobin concentration of 12 grams per deciliter (g/dl) or below. 7  In people with anemia from iron deficiency, the red blood cells are also usually smaller than normal. The CBC may be the only test needed to diagnose iron deficiency anemia.

What is the normal hemoglobin level for anemia?

In non-pregnant women, anemia is defined as a hemoglobin concentration of 12 grams per deciliter (g/dl) or below . 7  In people with anemia from iron deficiency, the red blood cells are also usually smaller than normal.

What foods help with anemia?

You’ll find it in citrus fruits like oranges and grapefruits. Vitamin C is also in: red and green peppers. kiwis. strawberries. Brussels sprouts. broccoli.

What to do if your period is so heavy?

If your period is so heavy that you quickly soak through pads or tampons — or have to double up on different types of protection — there are things you can do to find relief. You may be able to ease your symptoms and get your cycle back on track just by making a few tweaks to your diet.

How long does an IUD last?

An IUD is a small device placed inside the uterus to prevent conception. Depending on the brand, a hormonal IUD — like Mirena — can be effective for 3 to 5 years.

Why are menstrual cups reusable?

And because menstrual cups are reusable, they’re better for the environment than disposable sanitary products. Wear period panties. These absorbent undergarments are designed to back up tampons and pads for preventing leaks.

What happens if you have a quarter sized clot in your period?

have quarter-sized or larger clots in your period blood. bleed in between periods. are very tired or short of breath. If you’re having irregular and heavy bleeding patterns near menopause, or you have any vaginal bleeding after being told you’re past menopause, you should see a doctor for immediate evaluation.

Why do we need iron?

Your body needs iron to produce hemoglobin, a molecule that helps red blood cells carry oxygen. Very heavy periods can deplete your body of iron and lead to iron deficiency anemia. Signs of anemia include: To get more of this nutrient, eat foods high in iron like:

How long does it take to get a period off of birth control?

You generally use the pill, patch, or ring for 21 days, and then take 7 days off for menstruation. Newer birth control pills can provide a continuous dose of hormones throughout the month, resulting in fewer or no periods.

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