I had iron studies done 2/09 due to unusual fatigue. My levels are as follows. These were taken 3 days after my period ended.
Serum Iron 32
Iron Binding 454
% Saturation 7%
I started iron supplementation and my levels on 4/7/09 have returned to normal. The labs were taken right before my period began.
Serum Iron 87
Iron Binding 361
% Saturation 24%
My hemogloblin has been stable at 12.4.
During my last period, I soaked 7.5 super plus tampons and 3.5 super tampons plus other partially soaked pads and tampons. My period was 6 days. This is relatively normal although the volume has probably increased over the years. I am 40 years old.
My question: Do you think the iron deficiency more likely from my period than a GI source. My family MD has sent me to a GI MD who wants to do a colonoscopy and upper endo. My stools were heme negative. I feel that this is a bit of “overkill” and wanted your opinion. Thanks.
I am going to give you a weenie answer! If you are over 50, I agree that you do need the colonoscopy. If you are under 50, I agree that you don't!
I would do a pelvic ultrasound though to see if there was any reason why your periods are so heavy. Have you ever considered endometrial ablation? This is a nice simple procedure that can very often greatly reduce blood loss due to menstruation.
Obviously you don't want to do an ablation if you want any/any more children, but if your family is complete, it can be a Godsend! It is an office or outpatient surgical procedure.
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