Many women with uterine fibroids complain of fatigue. Uterine fibroids cannot affect your hormones, and they might be causing pain and pressure symptoms that can wear you down, but it's really the anemia that causes fatigue. Anemia is a common
consequence of uterine fibroids and irregular bleeding because of these
fibroids.
Regardless of symptoms people with anemia should be treated. So those with heavy periods should have a blood count to see if they are anemic or not.
In many
women correction of the bleeding, or treatment of uterine fibroids corrects the
associated anemia. Particularly if the anemia is modest and your diet is rich in foods that contain iron.
In some
women, their iron stores become so depleted that the anemia cannot correct
easily. If you have various GI conditions or 'stomach issues' it may make oral iron tough to tolerate, and other treatments are possible.
In women
facing uterine fibroid surgery the correction of anemia should ideally be done
before the surgery if having a hysterectomy or myomectomy.
In women who
have to have surgery correction of anemia by taking oral iron can work to bring
the blood counts to normal. Blood testing of the response to your iron treatment is possible to do.
Diet that is
deficient in B vitamins or other nutrients may make correction of anemia
harder.
Intravenous
iron is a rapid and successful way to raise the blood count for women facing
surgery. It may take three infusions per week for three weeks. In research
studies the count was raised by oral iron less than one hemoglobin point during
three weeks, but by 3 points if iv iron infusions were given.
Epoetin can
be given weekly and it increases the hemoglobin concentration about double what
you can accomplish with oral iron given over the three week period of time in
research settings
Correction
of anemia before surgery, and decreased blood loss during surgery with
minimally invasive techniques helps you get back to work and recover faster
from uterine fibroid surgery at Women’s Health Practice.
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