Iron Deficiency Anemia in a Premenopausal Woman

A 47-year-old woman presented to her family physician with complaints of persistent fatigue of three months duration. She had menorrhagia, irregular menses and mild dysmenorrhea but denied dyspnea, weight loss, fevers, night sweats, melena stool, overt rectal bleeding, hematuria, hematemesis and abdominal pain. She did not smoke and drank socially.