I've had a problem with my m.c. since I was 14 years old. The doctor told me that it was due to insufficient haemoglobin at the time, but it still persists. I've taken medication to help regulate it, but every time it occurs, I get really depressed sometimes. I've had an ultrasound, which is quite normal, and I'm not sexually active.How long will my haemoglobin issue remain, and why does it keep happening?

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I've had a problem with my m.c. since I was 14 years old. The doctor told me that it was due to insufficient haemoglobin at the time, but it still persists. I've taken medication to help regulate it, but every time it occurs, I get really depressed sometimes. I've had an ultrasound, which is quite normal, and I'm not sexually active.How long will my haemoglobin issue remain, and why does it keep happening?

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I've had a problem with my m.c. since I was 14 years old. The doctor told me that it was due to insufficient haemoglobin at the time, but it still persists. I've taken medication to help regulate it, but every time it occurs, I get really depressed sometimes. I've had an ultrasound, which is quite normal, and I'm not sexually active.How long will my haemoglobin issue remain, and why does it keep happening?

Asked by Female, 29 · 4 days ago

Y. Lakshmi Thulasi

Pharm-D (Post baccalaureate)

4 days ago

Even when an ultrasound appears normal, irregular or troublesome periods since adolescence might occasionally be associated with low haemoglobin (iron deficiency), hormonal imbalance, stress, poor diet, weight fluctuations, or disorders like PCOS. The body may continue to lose iron if heavy or irregular periods persist, which could cause the haemoglobin issue to recur repeatedly and result in fatigue, weakness, and depression. You can enhance your energy and menstrual health by eating foods high in iron, taking iron supplements on a regular basis as recommended, getting enough sleep, and controlling your stress. It is crucial to keep seeing a gynaecologist for hormone and blood testing as well as long-term care because this has been occurring for many years and has an impact on your mood.

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🩺 Symptoms associated with persistent m.c. and low hemoglobin

Common signs are tiredness, reduced energy, pallor, and occasional breathlessness.
Depression or low mood may occur due to the physical impact of low oxygen delivery by red blood cells.

🧪 Relevant lab tests for persistent low hemoglobin

Complete Blood Count (CBC) to evaluate red blood cells and hemoglobin levels.
Iron studies (serum iron, ferritin, total iron-binding capacity).
Vitamin B12 and folate levels to check for nutritional deficiencies.
Reticulocyte count to assess bone marrow response.
Hemoglobin electrophoresis if inherited anemias are suspected.

🩺 Appropriate medical specialty for consultation

A hematologist is the specialist to evaluate and manage low hemoglobin and ongoing anemia.
If depression occurs related to this condition, a psychiatrist or psychologist may help with mental health support.

⚕️ Possible reasons for persistent m.c. despite treatment

The underlying anemia may be chronic or due to ongoing nutritional deficits or absorption issues.
There could be an unrecognized cause such as chronic disease or ineffective absorption of supplements.
Medication side effects or incomplete adherence might also contribute.

⚕️ Prognosis and duration of hemoglobin issue

The length of time this issue persists depends on the underlying cause and treatment effectiveness.
Some anemia causes may be lifelong but manageable with proper medical care and monitoring.
Close follow-up with a hematologist is important for adjusting treatment.

It is important to consult a hematologist for a detailed evaluation and to discuss your ongoing symptoms and treatment response to tailor management effectively. Additionally, support from a mental health specialist may be beneficial to address depression episodes. If you experience worsening fatigue, chest pain, breathlessness, or severe mood changes, seek timely medical attention.

⚠️ In case of any emergency, contact Apollo Emergency - 1066.

Answered 4 days ago