December 8, 2025BloodOpen Access

Red cell indices in adolescents with iron deficiency and heavy menstrual bleeding

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Discussion

Retrospective review shows prevalence of anemia and microcytosis in adolescents, suggesting need for comprehensive iron studies.

Anemia prevalence was 36.6% among 105 adolescents evaluated, indicating a significant concern for iron deficiency.
The cohort demonstrated 77.2% normocytosis, despite a majority showing low ferritin levels, highlighting underrecognition of iron deficiency.
Patients aged 14–21 included in a retrospective chart review utilized CBC and ferritin values within 3 months for analysis.
Findings emphasize the need for routine iron studies in adolescents with heavy menstrual bleeding, irrespective of microcytic morphology.

Le Van Duc (2025) studied this question.

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