Low iron or Perimenopause?

Iron Deficiency in Perimenopause is so common! And not talked about enough!

Every time I share about my own experience with low iron, so many women reach out to me who are suffering. 

Iron deficiency has many of the same symptoms as perimenopause, so it can be difficult to tell them apart.

  • Brain Fog

  • Extreme Fatigue

  • Heavy periods

  • Hair Loss

  • Headaches

  • Anxiety/ Depression

  • Dry Skin

  • Restless Leg Syndrome

One of the most common changes in perimenopause is that periods get shorter and heavier, that is often the cause of iron deficiency. Your consistent 28 day cycle is now coming every 23-25 days. Along with shorter cycles, heavier menstrual cycles (with clotting and flooding) are very common. 

Ironically, low iron can also cause heavy periods- it's a vicious cycle.

In fact, my hematologist mentioned that many women over 40 will need regular iron infusions until they stop their periods in menopause. You are not alone!

How can you tell if you are iron deficient?

Ask for your ferritin levels to be checked at your next physical. It's not part of a normal blood panel, but so important.

It’s estimated that 33% of women who menstruate are iron deficient.

Have your ferritin levels tested, while below 30μg/l is “technically” considered low iron or iron deficiency, optimal iron storage is 100μg/l maintained over one year. You can feel the effects of iron deficiency even if your hemoglobin is “normal” aka 30μg/l , that's why ferritin (your iron storage) is so important. 

What foods are richest in iron?

Meat and fish provide heme iron, the type most easily absorbed by the body. Plant sources can also contribute but may require higher amounts as they provide non-heme iron, which isn't utilized as easily.

If you find your iron is low, it is recommended to take an iron supplement. While nutrition can support your iron stores, if you are already low iron, you need additional support.

From one iron warrior to another, I know how hard this can feel. I also know how GOOD it feels to recover.

My ferritin was 3 when it was finally tested, after a iron infusion it was 108!! My energy is back and my mind feels sharp again. 

I highly recommend this Facebook group as a wonderful resource and community: The Iron Protocol

Connect with Me for Personalized Help

If you're struggling with low iron, heavy and painful periods, or perimenopause symptoms, I’m here to help. 

Book a free consult call with me, and let's work together to find the right solutions for your health. 

You can also stay connected through this FREE Perimenopause Guide which includes a list of perimenopause symptoms and a list of hormone supporting habits. 

Want to read more?

My Journey Through Uterine Fibroids and Iron Deficiency: Finding the Right Path for My Health

How to Prepare for a Uterine Fibroid Embolization (UFE)

 
Symptoms of low iron and menopause: Brain Fog Hair loss headaches anxiety dry skin
Don't have to be anemic to have low iron ferritin below 30 is deficiency
Common to have shorter and heavier cycles in menopause. This can increase your risk for iron deficiency.
Heme Iron is in animal sources and more readily available. Non-Heme iron is in plant sources, not as easily absorbed in the body. You might need to eat higher amounts. Vitamin C can help absorption of iron.