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An untold link between menstrual health and iron levels, gynecologist explains

Menstrual and iron balances are closely related, although the association is usually overlooked. Your iron stores are also depleted with a heavy period, or long one for that matter which causes fatigue and anemia. Being aware of symptoms early, changing diet and seeking medical advice can enable women to safeguard their menstrual health and ensure they remain healthy.

September 17, 2025 / 14:28 IST
Menstrual health and iron levels are closely linked, with deficiencies often leading to fatigue and other health concerns.

Menstrual health is an essential and yet under-addressed aspect of women’s health. For most people, monthly cycles come along with a variety of physical and emotional sensations—and one very important piece is frequently hiding in plain sight: the relationship between menstruation and iron. Iron is a mineral that the body needs to create hemoglobin, the protein in red blood cells that carries oxygen around the body. The body may lose more iron than it takes in through the diet when menstrual bleeding is heavy or goes on for a long time, causing iron deficiency anemia.

It is one of — if not the most — prevalent nutrient deficiencies in the world, especially for women of childbearing age. Side effects such as fatigue, dizziness, hair loss and low immunity are commonly blamed on stress or hormones when in reality they could be signs of low iron.

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“Most women do not know how closely their menstrual health is linked to iron balance,” said Dr. Asha Menon, a gynecologist and women’s health specialist. With a realization of these symptoms and a lack of treatment sooner, rather than later, you run the risk of long-term health implications that potentially can be prevented with timely management. By learning about this correlation, women can learn how to not only control their symptoms but take precautions for her menstrual and overall health.

Iron Deficiency in Relation to the Quantity of Blood Lost During Menstruation

Blood is naturally lost during menstruation, which means that women with heavy or prolonged periods are at a considerably greater risk of iron deficiency.

Symptoms of iron-deficiency anemia

Back pain, brain fog, weak and peeling nails and being out of breath are often painted off as tiredness or “normal” period aches. They really are classic signs of iron-deficiency anemia. Spotting them early can be the key to treatment and prevention.

The Role Of Diet To Replete Iron

Iron comes in two forms: heme (the kind found in animals, like meat and fish) and non-heme (the sort that’s present in plant foods, including things like beans, spinach and fortified grains). Pairing non-heme iron with vitamin C-rich foods also helps enhance absorption and support women in maintaining healthy levels.

When to Seek Medical Guidance

Do not ignore heavy menstrual bleeding or any symptom that goes on longer than it normally would. Blood tests can confirm low iron levels, and treatment options may include supplements, dietary modification or addressing an underlying menstrual disorder such as fibroids or endometriosis.

Also read: H3N2 cases in Delhi: Doctor's tips on how to prevent viral fever, cough, covid-like signs

Empowerment Through Awareness

Women should know the hidden link between their periods and iron. “Increasing awareness also helps to reduce life-long risk of anemia, a portion of the puzzle that will maximize quality of life in addition to keeping menstrual health from being a side note in discussions about wellness,” she said.

FAQs about menstrual health and iron levels

Q: What are the signs of iron-deficiency anemia?

A: Symptoms include fatigue, dizziness, hair loss, low immunity, back pain, brain fog, weak and peeling nails, and shortness of breath.

Q: How can diet help in maintaining iron levels?

A: Consuming iron-rich foods, such as meat, fish, beans, spinach, and fortified grains, and pairing non-heme iron with vitamin C-rich foods can enhance iron absorption.

Q: When should I seek medical advice for heavy menstrual bleeding?

A: Consult a doctor if you experience heavy menstrual bleeding or persistent symptoms. Blood tests can confirm low iron levels, and treatments may include supplements, dietary adjustments, or addressing underlying menstrual disorders.

Q: Why is it important to be aware of the link between menstruation and iron levels?

A: Awareness helps in early detection and treatment of iron deficiency, reducing long-term health risks and improving overall quality of life.

Disclaimer: This article, including health and fitness advice, only provides generic information. Don’t treat it as a substitute for qualified medical opinion. Always consult a specialist for specific health diagnosis.

Nivedita is a Delhi-based journalist who writes on health, fashion, lifestyle and entertainment. Views expressed are personal.
first published: Sep 17, 2025 02:28 pm

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