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Treatment of Iron Deficiency in Women
#MMPMID26633902
Breymann C
; Römer T
; Dudenhausen JW
Geburtshilfe Frauenheilkd
2013[Mar]; 73
(3
): 256-261
PMID26633902
show ga
Iron deficiency with and without anaemia is a common cause of morbidity,
particularly in women. Iron deficiency is generally the result of an imbalance
between iron loss and iron absorption. In women with symptoms suspicious for iron
deficiency, it is important to confirm or exclude the suspicion using proper
tests. The use of serum ferritin levels is considered the gold standard for
diagnosis. Although the ideal ferritin levels are not unknown the current consent
is that levels 40?ng/ml indicate iron deficiency, which needs to be treated in
symptomatic patients. However, symptoms can already occur at ferritin levels of
100?ng/ml and treatment must be adapted to the individual patient. Iron
supplementation is only indicated in symptomatic patients diagnosed with iron
deficiency whose quality of life is affected. It is important to treat iron
deficiency together with its causes or risk factors. For example, blood loss from
hypermenorrhea should be reduced. Women also need to receive information about
the benefits of an iron-rich diet. If oral treatment with iron supplements is
ineffective, parenteral iron administration is recommended.