What is the next step in managing a 17-year-old female patient with fatigue and heavy menstrual periods, who has a normal Complete Blood Count (CBC) and pending Thyroid-Stimulating Hormone (TSH) and Comprehensive Metabolic Panel (CMP) results?

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Management of Fatigue and Heavy Menstrual Bleeding in a 17-Year-Old

Your next step is to measure ferritin levels immediately, as iron deficiency without anemia is present in approximately 50% of adolescents with heavy menstrual bleeding and is the most likely cause of her fatigue, even with a normal CBC. 1, 2

Why the Normal CBC is Insufficient

  • Hemoglobin and CBC alone miss over half of iron deficiency cases in young women with heavy menstrual bleeding, with a sensitivity of only 41-46% for detecting ferritin <20 ng/mL 2
  • Among adolescents with heavy menstrual bleeding who have iron deficiency (ferritin <20 ng/mL), only 41% are anemic and only 46% show microcytosis on CBC 2
  • Iron deficiency is present in 87.5% of adolescents with heavy menstrual bleeding, with ferritin ≤40 ng/mL, and 29% have severe depletion with ferritin ≤15 ng/mL 1

Complete Your Pending Workup

While awaiting TSH and CMP results, recognize that:

  • TSH testing is essential to exclude thyroid dysfunction as a reversible cause of both fatigue and menstrual irregularities 3, 4, 5
  • The CMP will help identify any metabolic abnormalities, though these are less likely contributors in this clinical scenario 3
  • Fatigue severity scores are significantly elevated in young women with heavy menstrual bleeding compared to healthy controls, independent of anemia status 1

Immediate Laboratory Additions

Order ferritin now rather than waiting for the gynecology appointment, as this will:

  • Identify iron deficiency that the CBC missed 2
  • Guide immediate iron supplementation to improve fatigue symptoms 1
  • Provide the gynecologist with complete information for treatment planning 6

Common Pitfall to Avoid

Never assume a normal hemoglobin rules out clinically significant iron deficiency in adolescents with heavy menstrual bleeding. The ferritin level is the critical test, as iron stores become depleted long before anemia develops, and this depletion directly causes fatigue 1, 2

Coordinate with Gynecology Referral

The gynecology referral is appropriate for addressing the heavy menstrual bleeding itself through:

  • Hormonal management options including levonorgestrel-releasing intrauterine systems or combined hormonal contraceptives as first-line treatments 6
  • Tranexamic acid (antifibrinolytic therapy) as an alternative or adjunct, which reduces menstrual blood loss by 40-50% 7, 6
  • Evaluation for underlying bleeding disorders, which are present in up to 20% of adolescents with heavy menstrual bleeding 6

Treatment Sequence

  1. Start iron supplementation immediately if ferritin is <40 ng/mL, as this threshold indicates depleted iron stores even without anemia 1
  2. Address the heavy menstrual bleeding through gynecologic management to prevent recurrent iron deficiency 6
  3. Reassess fatigue symptoms after 4-6 weeks of iron therapy, as improvement confirms iron deficiency as the primary cause 1

References

Research

Iron deficiency and fatigue in adolescent females with heavy menstrual bleeding.

Haemophilia : the official journal of the World Federation of Hemophilia, 2013

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Guideline

Initial Investigation for Amenorrhea in Women of Reproductive Age

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Evaluation and Management of Menstrual Irregularities

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2026

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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