AKT-2379

AKT-2379

A 50-year-old woman presents with anaemia on a routine blood test. Her haemoglobin is 96 g/L (115-165) and her MCV is 72 fL (80-96). Further blood tests reveal a ferritin of 8 µg/L (15-300) and negative coeliac serology. Haemoglobin electrophoresis is normal.

She denies any gastrointestinal symptoms, rectal bleeding, weight loss, haematuria or haemoptysis. Her menstrual cycle is regular with periods every 28 days. She reports heavy bleeding for five days followed by lighter bleeding for three days, which has been the case for several years. She doesn’t consider her periods to be problematic.

Physical examination, including urine dipstick testing, is unremarkable.

What is the most appropriate next step?