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Nutrition, iron

Heavy periods quietly run your iron down

Exhaustion, breathlessness on the stairs, a strange urge to chew ice. Why heavy bleeding and low iron travel together, and what to do about it.

Reviewed against NICE Guidelines, 1 min read, published

Fresh vegetables, pulses and nuts arranged on a table

If you flood through protection, pass large clots, or plan your week around your period, that counts as heavy bleeding — and heavy bleeding is the most common reason for low iron in women.

The signs of low iron

Low iron is easy to mistake for ordinary tiredness. The giveaways are:

  • Breathlessness climbing stairs you used to manage
  • A pounding heart
  • Headaches
  • A craving to crunch ice

Carry out a full blood count test for all women with HMB, in parallel with any HMB treatment offered.

— NICE, Heavy menstrual bleeding: assessment and management

What to eat

Food helps: red meat, pulses, tofu, dark leafy greens, fortified cereals, and something with vitamin C alongside them, since it helps you absorb the iron from plants.

Quick summary

  • Heavy bleeding: flooding, large clots, or planning your week around your period
  • Low iron signs: breathlessness, a pounding heart, headaches, craving ice
  • Food: iron-rich foods, with vitamin C alongside plant sources
  • Next step: a blood test, then treat both the deficit and the bleeding

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