Conversation: The conversation between human and AI assistant.
[|Human|] Hi there I m a 48 year old woman and am peri menopausal, I believe that IVF may have bought it on earlier than normal as there is no history with my mum or sisters for early menopause. The question I have for you is for the last 4 years I have had low iron levels to which for the last 3 years have had to have iron infusions for my levels to come up !!! I had blood tests done and today went to see specialist for results and am once again low in iron (45) levels and have been booked in for another infusion jan 15... Also found in my haemtology report that my ESR levels are high at 25 !!! Why do my iron levels keep going down when I m only getting my periods every 3 months and should I be worried about my ESR levels ??? Thought I should mention that my older sister had bowel cancer at 42 and had secondary cancer a few years later, but is now cancer free 10 years later. Thanking you Christina
[|AI|]  Hi, dairy have gone through your question. I can understand your concern.  Persistent low iron despite iron infusion is due to chronic bleeding.  You don't have excess menstrual blood loss. So you may have some chronic bleeding from other sites like gastrointestinal tract.  You should go for ultrasound abdomen to search the cause of bleeding.  Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.