We observed a case involving an adolescent experiencing abnormal uterine bleeding and dizziness, which led to her being referred to the emergency department. During our examination, she was stable but showed signs of significant anaemia, with a haemoglobin level that was critically low.
To address her condition, she was given a blood transfusion and started on a regimen of oral oestradiol and iron supplementation. While iron is a common treatment for anaemia, it’s essential to note that we cannot definitively attribute her recovery from dizziness solely to the iron since it was part of a combined treatment approach alongside oestradiol.
After a couple of weeks of treatment, she was transitioned to a combination of oestradiol and progestin. Ultimately, the patient showed significant improvement without any further episodes of similar distress.
This case underscores the complexity of treating conditions like anaemia, where multiple factors and treatments are at play. While iron supplementation is vital, we need more data to clearly understand its specific impact on dizziness in adolescents.