Iron deficiency and fatigue are common problems in adolescent females. Heavy menstrual
bleeding (HMB) is associated with both iron deficiency and fatigue. The aim of this study was
to define baseline ferritin values and fatigue symptoms in a population of young females with
excessive menstrual blood loss, as compared to healthy controls. The study population
included 11 to 17‐year‐old menstruating females presenting to an Adolescent Gynaecology
Clinic, Menorrhagia Clinic or Sports Medicine clinic. To evaluate the degree and effects of …

Abstract Abstract 4215 Introduction Adolescent females are one of two pediatric populations
at greatest risk for iron deficiency. An important risk factor for iron deficiency in adolescent
females is excessive menstrual blood loss. Due in part to changes in circadian rhythms and
poor sleep hygiene, fatigue is also a pervasive problem in adolescence, and may be
exacerbated by iron deficiency secondary to menorrhagia. Clinical trials have shown that
non-anemic adult women with low serum ferritin (≤ 15 „30 ng/ml) and unexplained fatigue …