What should I do about adenomyosis-related anemia?

Written by Du Rui Xia
Obstetrics
Updated on January 04, 2025
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When suffering from adenomyosis, patients often experience an increase in menstrual flow. Prolonged heavy menstrual bleeding can lead to anemia. At this time, drug treatment should be initiated first. Some medications can be used to stop bleeding, and minimally invasive surgery or interventional treatment can also be considered to remove the affected areas of adenomyosis. In terms of diet, it is important to consume foods rich in protein that aid in blood replenishment. Additionally, an appropriate supplement of vitamin B and vitamin C is necessary, and it's crucial to actively work on blood replenishment to avoid risking the patient's health. (Medication should be used under the guidance of a professional doctor.)

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Written by Zhao Li Li
Obstetrics
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What to eat for postpartum anemia

In general, if anemia occurs postpartum, it is recommended to undergo further examination to understand the specific causes of postpartum anemia, and then to treat the condition accordingly. If iron deficiency anemia occurs postpartum, it is necessary to promptly supplement iron to correct the anemia symptomatically. If the anemia is due to a lack of certain vitamins leading to megaloblastic anemia, it still requires specific oral medication treatment based on the underlying cause. During the treatment process, it is also necessary to closely monitor the specific recovery from anemia after taking oral medications. If anemia persists without relief, further examinations are needed to exclude the possibility of blood system diseases causing the anemia. (Medication use should be carried out under the guidance of a professional doctor.)

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Written by He Li Fang
Hematology
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Iron deficiency anemia is what type of anemia?

Iron deficiency anemia refers to the anemia that occurs when the body's stored iron is depleted and cannot meet the needs for normal red blood cell production. Before the production of red blood cells is limited, the body's stored iron has already been exhausted. However, at this stage, the routine blood tests may not yet show obvious signs of anemia; this condition is then referred to as iron deficiency. The characteristics of iron deficiency anemia include a lack of stainable iron in the bone marrow and other tissues, as well as reduced serum ferritin and transferrin saturation, presenting as typical microcytic hypochromic anemia. Therefore, iron deficiency anemia is a type of microcytic hypochromic anemia and is classified according to the level of marrow proliferation as a hyperproliferative anemia.

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Written by Li Fang Fang
Hematology
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What indicators are used to diagnose anemia?

To determine if someone is anemic, we should look at the red blood cell count and hemoglobin level in a complete blood count. Currently, hemoglobin level is the commonly used indicator clinically. Normal hemoglobin levels are 110~150g/L for women and 120~160g/L for men. Anemia is diagnosed when the hemoglobin level falls below the normal range. Based on the amount of hemoglobin, anemia can be classified into very severe, severe, moderate, or mild. Hemoglobin levels above 90g/L indicate mild anemia, levels between 60~90g/L indicate moderate anemia, levels between 30~60g/L indicate severe anemia, and levels below 30g/L indicate very severe anemia.

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Written by Li Fang Fang
Hematology
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Can anemia cause fever?

Patients with severe anemia may exhibit low-grade fever due to the severity of the anemia, where the fever generally does not exceed 38 degrees Celsius, mostly hovering around 37.5 degrees Celsius. Besides, if a patient with anemia develops high fever above 38 degrees Celsius, even reaching around 39 degrees Celsius, it is crucial to be vigilant about a possible secondary infection due to poor resistance from anemia. It is important to actively search for the source of infection, complete tests such as inflammatory markers, CT scans, and ultrasound imaging, and, once an infectious fever is suspected, to initiate aggressive anti-infection treatment.

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Written by Yue Hua
Obstetrics and Gynecology
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Causes of Anemia in Late Pregnancy

Anemia can be categorized into several different types, each caused by different reasons. Iron-deficiency anemia occurs in late pregnancy when the intake or absorption of iron by pregnant women is insufficient. Megaloblastic anemia is caused by a deficiency of folate or vitamin B12 in the patient's body. Additionally, there is thalassemia, which is caused by a genetic deficiency in the patient, leading to anemia in the fetus as well. Another type is aplastic anemia, which is caused by abnormal bone marrow hematopoietic function leading to anemia.