Abnormalities in CBC/Iron Tests

Can you explain what the possible reasons would be for the abnormalities shown in these test results of a 39 year old female?  Can you recommend any further tests required to determine the reason for the abnormalities?

I donate blood every 2 months and I take 81 mg of aspirin once a day.

Test Result Range
WBC 6.4 K/uL 4-10 K/uL
LYM 1.8 28    %L 1.1 - 4.2 28-42 %L
MID 0.5 7.1   %M 0.0 - 1.2 0-12  %M
GRAN 4.2 R3 64.9  %G        1.8 - 6.3 46-63 %G

RBC 5.15 M/uL 4.2 - 5.4 M/uL
HGB 12.8 g/dL 12 - 16 g/dL
HCT 39.3 % 37 - 47%
MCV           * 76.4 fL 81 - 101 fL
MCH       * 24.9 pg 27 - 34 pg
MCHC 32.6 g/dL 31.5 - 36 g/dL
RDW       * 19.5 % 12 - 14%

PLT 299 K/uL 140 - 440 K/uL

Iron, Total 104 35 - 175 MCG/DL
Iron Binding Cap      * 449 250 - 400 MCG/DL
% Saturation 23 15 - 50%
Ferritin       * 9 10-154 NG/ML

Hemoglobin A1 97.9 >96%
Hemoglobin F <1 <2%
Hemoglobin A2 2.1 1.8-3.5%

[Kevin Pho, MD]

The low MCV, ferritin, along with elevated TIBC (binding capacity) are consistent with iron deficiency anemia.  

Heavy periods can lead to this.  If the problem is not GYN-related, I would consider a GI workup (i.e. a colonoscopy) to evaluate the symptoms.  

You can discuss these options with your gynecologist, or consider a referral to a gastroenterologist.

I would also consider iron supplementation.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
kevinmd_

[Vicky8850]

A related discussion, blood work levels was started.