Women, Anemia and HIV/AIDS
The most common type of anemia in the US is iron deficiency anemia, which is caused by a shortage of iron. According to the US Centers for Disease Control and Prevention (CDC), close to six million women between 15 and 49 years old are iron deficient, and almost half of these women will develop iron deficiency anemia. Worldwide, iron deficiency is the most common nutritional deficiency and has negative effects on both women and children.
Women are especially likely to develop iron deficiency anemia for several reasons. First, women aged 12 to 49 lose blood approximately once a month during their periods. Iron is needed to make the new blood that replaces the blood lost with each menstrual period. The risk of anemia is higher among women with periods that are especially long or include very heavy bleeding. Some women also lose iron from uterine fibroids that bleed slowly, or from bleeding caused by using intrauterine devices (IUDs) for birth control.
Second, women need extra iron during pregnancy for the proper development of their babies. In fact, pregnant women need 50 percent more iron than usual (27 mg per day instead of the usual 18 mg per day). Women also lose blood during childbirth. It is important for women who are pregnant or plan to become pregnant to have their iron levels checked and bring any symptoms of anemia to their health care providers' attention.
With diagnosis and treatment, the affects of anemia can be greatly reduced. Anemia is usually diagnosed by measuring HGB and hematocrit (HCT). HCT is the percentage of RBCs in the blood. HGB and HCT are measured as part of a routine blood test called a complete blood count (CBC). A CBC should be done as part of your regular health exams.
The treatment for anemia depends on the cause:
There are also medications that help your body make more red blood cells. These medications include the injectable drug erythropoietin or EPO (brand names Epogen and Procrit). Some people with severe anemia may need a blood transfusion. However, transfusions are a last resort.
Good communication with your health care provider will help determine the best treatment for you based on what is causing the anemia.
Anemia is a common condition in HIV+ people, especially women. It can cause feelings of fatigue, lower your quality of life, and increase the chances that your HIV disease will get worse.
If you are feeling tired for unexplained reasons or experiencing any of the other symptoms listed above, talk to your health care provider. He or she can run tests to determine if anemia is the problem. If so, your health care provider will look for the cause and suggest treatment options. Treating anemia improves the health and survival of HIV+ people.
This article was provided by The Well Project. Visit The Well Project's Web site to learn more about their resources and initiatives for women living with HIV. The Well Project shares its content with TheBody.com to ensure all people have access to the highest quality treatment information available. The Well Project receives no advertising revenue from TheBody.com or the advertisers on this site. No advertiser on this site has any editorial input into The Well Project's content.
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