Iron Deficiency & Anemia in Women: Signs You Shouldn’t Ignore
Reviewed by Dr. Amna Noor, Pharm-D — Lead Pharmacist, IMA Pharmacy Plus
Anemia is one of the most widespread health issues among women in Pakistan, affecting a large share of women of childbearing age. Yet it is so common that its symptoms — fatigue, dizziness, breathlessness on stairs — are often normalised as part of a busy life. They should not be.
Common signs of iron deficiency
- Persistent tiredness and low energy, even after rest
- Pale skin, pale inner eyelids, or brittle nails
- Shortness of breath during ordinary activity
- Frequent headaches or dizziness
- Cold hands and feet, or a racing heartbeat
- Unusual cravings for ice, clay, or starch (pica)
Why women are at higher risk
Monthly blood loss, pregnancy, breastfeeding, and diets low in iron-rich foods all increase a woman’s iron needs. Adolescent girls and expecting mothers are especially vulnerable, and untreated anemia in pregnancy raises risks for both mother and baby.
Food first, supplements when needed
Iron from food comes in two forms. Heme iron — from meat, liver, and fish — absorbs best. Plant sources like spinach, lentils (daal), chickpeas, and jaggery (gur) help too, especially when paired with vitamin C (a squeeze of lemon, an orange). Tea and milk taken with meals block absorption, so keep them an hour apart.
If a blood test confirms deficiency, your doctor may prescribe iron tablets. Take them exactly as directed — typically on an empty stomach with water or juice — and expect mild constipation or dark stools, which are normal. Never self-prescribe high-dose iron; excess iron is harmful.
A simple CBC blood test confirms anemia. If you recognise these symptoms, speak to your doctor — and feel free to ask our pharmacist how to take prescribed iron correctly for the best absorption.
