Normal, reasons for the deviation of red blood cells in the analysis in women. Normal level of red blood cells in the blood of women Normal concentration of red cells for men

An erythrocyte is a small red body responsible for the uniform distribution of beneficial components throughout the body through the blood. Red blood cells contain a huge amount of hemoglobin, it saturates tissues, binding oxygen entering through the lungs, and promotes the timely removal of carbon dioxide from the human body.

The rate of red blood cells in the blood of women is constantly changing, which directly depends on the monthly biocycle. Their smallest number in female body occurs at the time of ovulation, the greatest in the first days of menstruation.

Reduced red blood cell counts are due to the onset of the formation of a disease such as anemia. If the level of red blood cells is elevated, the body can be said to be suffering from dehydration. An increase may also indicate that erythremia is developing.

Red blood cell counting can be done using color indicators. Using this measurement system, the normal value of red blood cells was determined to be 0.86 - 1.05. A high value of this value may indicate hyperchromia, a low value may indicate hypochromia. With hyperchromia, red blood cells increase the saturation of cells with hemoglobin, which is typical for a deficiency of B vitamins and folic acid.

It could be:

  • anemia;
  • diphyllobothriasis;
  • chronic diseases of the gastrointestinal tract;
  • drunkenness;
  • pregnancy.

The normal cell concentration is determined by general research blood. The norm may differ and it depends on how old the person is and what gender he belongs to. Therefore, it can be defined as an indispensable indicator of the health of all systems and organs human body. Fluctuations from the norm are most often associated with the presence of some disease in both sexes.

The size of red blood cells is one of the indicators that are taken into account when blood is taken for analysis. The number of red cells in the body of women is constantly changing, this is facilitated by numerous reasons, and specifically, how old a person is.

The norm for different ages in women.

  1. For girls under 12 years of age, a value ranging from 3.8 to 4.9x10 million/l is considered acceptable.
  2. A teenage girl typically has a slight decrease in these characteristics, since menstruation begins at this age.
  3. If we talk about mature women after 50, then the erythrocyte content will be in the range from 3.5 to 4.7x10 million/l.
  4. The indicator of red cells changes periodically, obeying the monthly biocycle.
  5. In addition, it should be taken into account that their degree increases significantly when a child is pregnant. In the first trimester, red blood cells contain approximately 4.2 - 5.5x10 million/l. In the second, these characteristics drop slightly, amounting to 3.9 - 4.8x10 million/l. At 3 they increase again, stopping at approximately 4.1-5x10 million/l. Immediately after the birth process, when they occur with significant blood loss, the quantitative content of red blood cells decreases to 3-3.5x10 million/l, which is considered normal reaction. However, with such data, the woman feels a strong loss of strength, a little dizziness, and may feel a little nauseous.

Normal red blood cell count for women of different ages:

  • for women from 20 to 30 years old, the norm is 4 - 15 mm/h;
  • women during pregnancy, the norm is 20 - 45 mm/h;
  • women aged 30 to 60 years, 8 - 25 mm/h;
  • for women over 60 years old, the norm is 12 - 53 mm/h.

When blood samples show abnormalities, it can indicate the presence of quite significant health problems.

However, there are also relatively harmless reasons that can change the cell level upward:

  • menstrual cycle;
  • extreme weight loss and fasting;
  • excessive breakfast;
  • postpartum period.

If this is the reason, then treatment is not required; the woman is advised to change her lifestyle and be more attentive to her food intake. An increase in the number of red blood cells in the blood often warns of developing dropsy and a tumor. Using the color indicator it is possible to find out what the presence of hemoglobin is in red blood cells.

The level of red blood cells allows you to monitor the development of pregnancy and its various aspects. For testing, blood from a vein is used. Modern medical institutions Electronic equipment is used to count red blood cells, this significantly increases the accuracy of the study.

What women need to consider at 50 and older

Every woman who has reached the age of 50 years or more, after the onset of menopause, should definitely go regularly for medical examinations, since blood levels at this age are extremely important.

After a woman changes hormonal background, the process of destruction of bone tissue begins, this leads to the fact that bones break and crack more often. In order to detect destruction in time, doctors recommend performing a procedure such as densitometry.

Since all these changes occur after the cessation of menstruation, to determine this time, it is necessary to donate blood to analyze the concentration of a special hormone that is responsible for the functioning of the ovaries in the female body. As soon as its level exceeds certain values, it means menopause occurs.

In old age, the red blood cell count is often below 4 million cells per liter of blood. The number of red blood cells can tell almost everything about the state of the body: their decrease and increase warns of the presence of certain health problems.

A woman’s body after 50 undergoes a process of restructuring of most major systems, many of which indicate the aging process or less cell growth, tissue regeneration decreases, after menopause the body does not need additional iron. All these changes can be tracked by the content of cells such as red blood cells.

After the age of 50, you should especially pay attention to your health and undergo medical examination Regardless of your general well-being, treat yourself more carefully and attentively and do not take medications without consulting your doctor.

First school lessons about the device human body are introduced to the main “inhabitants of the blood: red cells - erythrocytes (Er, RBC), which determine the color due to the blood they contain, and white cells (leukocytes), the presence of which is not visible to the eye, since they do not affect the color.

Human red blood cells, unlike animals, do not have a nucleus, but before losing it, they must go from the erythroblast cell, where hemoglobin synthesis just begins, to reach the last nuclear stage - which accumulates hemoglobin, and turn into a mature nuclear-free cell, the main a component of which is red blood pigment.

What people have not done with red blood cells, studying their properties: they tried to wrap them around the globe (4 times), and put them in coin columns (52 thousand kilometers), and compare the area of ​​red blood cells with the surface area of ​​the human body (red blood cells exceeded all expectations , their area turned out to be 1.5 thousand times higher).

These unique cells...

Another one important feature red blood cells lies in their biconcave shape, but if they were spherical, then their total surface area would be 20% less than the present one. However, the abilities of red blood cells lie not only in the size of their total area. Thanks to the biconcave disc shape:

  1. Red blood cells are able to carry more oxygen and carbon dioxide;
  2. Show plasticity and freely pass through narrow openings and curved capillary vessels, that is, there are practically no obstacles for young, full-fledged cells in the bloodstream. The ability to penetrate into the most remote corners of the body is lost with the age of red blood cells, as well as in their pathological conditions, when their shape and size change. For example, spherocytes, sickle-shaped, weights and pears (poikilocytosis) do not have such high plasticity, macrocytes, and even more so megalocytes (anisocytosis), cannot penetrate into narrow capillaries, therefore the modified cells do not perform their tasks so flawlessly.

The chemical composition of Er is represented largely by water (60%) and dry residue (40%), in which 90 - 95% is occupied by red blood pigment - , and the remaining 5 - 10% are distributed between lipids (cholesterol, lecithin, cephalin), proteins, carbohydrates, salts (potassium, sodium, copper, iron, zinc) and, of course, enzymes (carbonic anhydrase, cholinesterase, glycolytic, etc.).

Cellular structures that we are accustomed to noticing in other cells (nucleus, chromosomes, vacuoles) are absent in Er as unnecessary. Red blood cells live for up to 3 - 3.5 months, then they age and, with the help of erythropoietic factors that are released when the cell is destroyed, give the command that it is time to replace them with new ones - young and healthy.

The erythrocyte originates from its predecessors, which, in turn, originate from a stem cell. Red blood cells are reproduced, if everything is normal in the body, in the bone marrow of flat bones (skull, spine, sternum, ribs, pelvic bones). In cases where, for some reason, the bone marrow cannot produce them (tumor damage), red blood cells “remember” that intrauterine development this was done by other organs (liver, thymus, spleen) and force the body to begin erythropoiesis in forgotten places.

How many should there be normally?

The total number of red blood cells contained in the body as a whole and the concentration of red cells coursing through bloodstream- the concepts are different. IN total number includes cells that have not yet left the bone marrow, went into depot in case of unforeseen circumstances, or set sail to fulfill their immediate duties. The totality of all three populations of red blood cells is called - erythron. Erythron contains from 25 x 10 12 /l (Tera/liter) to 30 x 10 12 /l red blood cells.

The norm of red blood cells in the blood of adults differs by gender, and in children depending on age. Thus:

  • The norm for women ranges from 3.8 - 4.5 x 10 12 / l, respectively, they also have less hemoglobin;
  • What is a normal indicator for a woman is called mild anemia in men, since the lower and upper limit their erythrocyte norms are noticeably higher: 4.4 x 5.0 x 10 12 /l (the same applies to hemoglobin);
  • In children under one year old, the concentration of red blood cells is constantly changing, so for each month (for newborns - each day) there is its own norm. And if suddenly in a blood test the red blood cells in a two-week-old child are increased to 6.6 x 10 12 / l, then this cannot be regarded as a pathology, it’s just that this is the norm for newborns (4.0 - 6.6 x 10 12 / l).
  • Some fluctuations are observed even after a year of life, but normal values not very different from those in adults. In adolescents aged 12-13 years, the hemoglobin content in red blood cells and the level of red blood cells themselves correspond to the norm for adults.

An increased amount of red blood cells in the blood is called erythrocytosis, which can be absolute (true) and redistributive. Redistributive erythrocytosis is not a pathology and occurs when red blood cells are elevated under certain circumstances:

  1. Stay in mountainous area;
  2. Active physical labor and sports;
  3. Psycho-emotional agitation;
  4. Dehydration (loss of fluid from the body due to diarrhea, vomiting, etc.).

High levels of red blood cells in the blood are a sign of pathology and true erythrocytosis if they are the result of increased formation of red blood cells caused by unlimited proliferation (reproduction) of the precursor cell and its differentiation into mature forms of red blood cells ().

A decrease in the concentration of red blood cells is called erythropenia. It is observed with blood loss, inhibition of erythropoiesis, breakdown of red blood cells () under the influence of unfavorable factors. Low red blood cells and low red blood cell Hb levels are a sign.

What does the abbreviation mean?

Modern hematology analyzers, in addition to hemoglobin (HGB), reduced or high content erythrocytes in the blood (RBC), (HCT) and other usual tests, other indicators can be calculated, which are designated by a Latin abbreviation and are not at all clear to the reader:

In addition to all the listed advantages of red blood cells, I would like to note one more thing:

Red blood cells are considered a mirror that reflects the state of many organs. A kind of indicator that can “feel” problems or allow you to monitor the progress pathological process, is .

For a big ship, a long voyage

Why are red blood cells so important in diagnosing many pathological conditions? Their special role arises and is formed due to their unique capabilities, and so that the reader can imagine the true significance of red blood cells, we will try to list their responsibilities in the body.

Truly, The functional tasks of red blood cells are wide and varied:

  1. They transport oxygen to tissues (with the participation of hemoglobin).
  2. Transfer carbon dioxide(involving, in addition to hemoglobin, the enzyme carbonic anhydrase and the Cl-/HCO 3 ion exchanger).
  3. Execute protective function, since they are able to adsorb harmful substances and carry antibodies (immunoglobulins), components of the complementary system, formed immune complexes (At-Ag) on ​​its surface, and also synthesize an antibacterial substance called erythrin.
  4. Participate in the exchange and regulation of water-salt balance.
  5. Provide tissue nutrition (erythrocytes adsorb and transport amino acids).
  6. Participate in maintaining information connections in the body through the transfer of macromolecules that provide these connections (creative function).
  7. They contain thromboplastin, which is released from the cell when red blood cells are destroyed, which is a signal for the coagulation system to begin hypercoagulation and formation. In addition to thromboplastin, red blood cells carry heparin, which prevents thrombus formation. Thus, the active participation of red blood cells in the process of blood clotting is obvious.
  8. Red blood cells are capable of suppressing high immunoreactivity (acting as suppressors), which can be used in the treatment of various tumor and autoimmune diseases.
  9. They participate in the regulation of the production of new cells (erythropoiesis) by releasing erythropoietic factors from destroyed old red blood cells.

Red blood cells are destroyed mainly in the liver and spleen with the formation of breakdown products (iron). By the way, if we consider each cell separately, it will not be so red, but rather yellowish-red. Accumulating into huge masses of millions, they, thanks to the hemoglobin contained in them, become the way we are used to seeing them - a rich red color.

Video: Lesson on Red Blood Cells and Blood Functions

Red blood cells are the only cells capable of delivering oxygen bound to hemoglobin to all tissues of the body, maintaining their life, and after splitting off the O2 molecule, transport c venous blood carbon dioxide for elimination through the lungs.

It is important to maintain a normal amount of these formed elements, since the intensity of oxygen saturation of the woman’s entire body depends on their quantity.

Rbc (red blood cell level) has little dependence on age, menopause for women over 50 years of age, and pregnancy.

erythrocytes in the blood of women from 16 to 80 years old is 3.7-4.7 * 10 12 / l.

The table shows how the rbc level depends on age:

In a general blood test in pregnant women, physiological anemia is recorded.

It is caused by the fact that the volume of circulating plasma increases, but the number of formed elements remains the same. If erythropenia is not caused by iron deficiency, then after the end of pregnancy the rbc level gradually normalizes. The number of red blood cells in pregnant women in a blood test is presented in the table:

Increased values

Revealed during decryption rbc analysis is called "erythrocytosis". It indicates chronic hypoxia of the body over many years, hormonal or renal diseases.

Causes

In a number of pathological conditions, erythrocytosis is absolute.

When deciphering the analysis, this term means that the bone marrow produces blood cells too intensively. Absolute erythrocytosis is caused by:

  1. Diseases of the cardiovascular system and lungs that lead to respiratory or heart failure. These conditions are characterized by hypoxia of all tissues. To correct it, the body launches a hormonal cascade that increases the production of red blood cells by the bone marrow.
  2. Accommodation throughout for long years in areas poor in oxygen (in the highlands) or in cities with polluted air.
  3. The bone marrow produces red blood cells with defective membranes and enzyme systems that cannot adequately meet the body's oxygen needs. The “low” quality of the shaped elements is compensated by their large quantity.
  4. Blockage of the renal artery by an atherosclerotic plaque, organ prolapse are conditions in which the kidneys experience hypoxia.
  5. The presence of hormone-producing kidney tumors, which can lead to excess erythropoietin. Under the influence of this hormone, the bone marrow produces red blood cells.
  6. Stress and other conditions characterized by increased production of catecholamines, which are inducers of hematopoiesis.
  7. Diseases of the endocrine organs - adrenal glands, thyroid gland with an increase in hormone levels.
  8. Toxic lesions of the red germ of bone marrow hematopoiesis.
The risk group for this pathology includes women over 50 years of age who experience hormonal changes body.

Relative erythrocytosis indicates that the plasma volume is reduced in relation to the amount of rbc. This condition is easily corrected and occurs when:

  • Stress;
  • Insufficient fluid intake;
  • Loss of the liquid component of plasma through sweat during fever, vomiting and diarrhea.

Symptoms

External manifestations of erythrocytosis occur after several years chronic oxygen starvation.

These include:

  • Fatigue, shortness of breath during physical activity;
  • Change in skin color to bluish;
  • Decrease in the number of other blood elements - leukocytes, platelets (frequent colds, bleeding gums, bruises on the body);
  • Headache.

Red blood cells are the most numerous elements of human blood, the main part of which consists of hemoglobin. Their main function is to transport oxygen and saturate with many nutrients organs and tissues, transfer carbon dioxide from tissues to the lungs, and also maintain acid-base balance in the blood. In addition, red blood cells are responsible for the transfer of special antibodies that are involved in immune reactions.

By the number of red blood cells, you can identify some problems and pathologies in the body. The content of red blood cells in adults and children is different, just as the level of red blood cells in the blood and the norm in women differs from those in men. In this article we will take a closer look at what the norm of red blood cells in women is, what deviations from the established boundaries may be associated with, and what the consequences are.

Blood test for red blood cells. The norm for women.

To determine the level of red blood cells, a person is prescribed a general (clinical) blood test, that is, material is taken from a finger. For the study, just a few drops of blood are enough, after which the calculation is made in the laboratory using a microscope or an automated hematology analyzer. Measured at 10 12 pieces per liter of blood.

For adults and healthy woman a normal value is considered to be from 3.7 to 4.7 * 10 12 / l.

During pregnancy, especially during later, a slight decrease in the level to 3.5 or even 3.0 * 10 12 / l is acceptable, this is due to excessive blood thinning due to fluid retention in the body.

Deviation from the norm may indicate the presence of serious problems with health. A low red blood cell count is possible due to anemia (anemia), after large blood loss, or when a focus of inflammation occurs.

An increase in red blood cells in a woman’s blood usually signals some diseases or disorders. Let's talk about this in more detail.

Why are red blood cells in a woman’s blood elevated?

The situation when red blood cells are higher than normal in women is not uncommon. In medicine, this condition is called erythrocytosis and gives the doctor reason to carry out additional examination for the presence of certain diseases.

However, not always elevated red blood cells in women indicate pathology. A slight deviation from the norm can occur in people who live or stay for a long time in mountainous areas due to a lack of oxygen molecules in the air. A similar situation can occur in heavy smokers. In addition, a blood test may reveal a large number of red cells if the day before the person suffered an emotional shock, was exposed to active physical activity, or experienced severe dehydration. Usually, after eliminating provoking factors and situations, the analysis shows normal indicators red blood cells in the blood within a few days.

Besides physiological reasons, there are also pathological ones that can threaten the patient’s health. The most common include:

  1. Erythremia. A disease associated with excessive production of red blood cells in the bone marrow. The disease is also characterized by an increase in leukocytes, platelets, increased hemoglobin and red blood cells in women. Erythremia on initial stages may not manifest itself in any way and may not influence circulatory system and the body as a whole. But as it develops, the patient may experience some health problems, such as: headaches and joint pain, enlarged spleen and liver, redness and itching skin, excessive bleeding, and even thrombotic strokes and myocardial infarction.
  2. Heart defects or problems with cardiovascular system. With such disorders, the speed of blood pumping and its volume decrease, and there is an insufficient amount of oxygen in it, which the body tries to compensate for by producing new red blood cells.
  3. Oncology of the kidneys and liver. These organs are involved in the process of decomposition and elimination of “old” red blood cells. Due to the development of the tumor, they cease to fully perform their function. Therefore, an increased number of red blood cells in a woman’s blood is associated with the accumulation of mature blood cells.
  4. Chronic diseases respiratory system, such as obstructive bronchitis, chronic bronchial asthma, pulmonary emphysema often entails the development of erythrocytosis.

To understand why elevated red blood cells were found in a woman’s blood and the causes of erythrocytosis, it is recommended to undergo additional testing. examination and take basic tests.

Prevention and treatment

IN severe forms erythrocytosis is exchanged emergency measures treatment such as: phlebotomy - bloodletting to reduce the number of red blood cells, or suppression of bone marrow activity special drugs.

If increased level red blood cells in a woman’s blood is a primary phenomenon and is not combined with other characteristic clinical symptoms, you will be asked to retest after some time and follow some preventive measures, such as:

  • to give up smoking;
  • increased attention to the quality of water consumed (it should not be chlorinated or highly carbonated);
  • nutritious food rich in vegetables and fruits;
  • timely treatment respiratory diseases.

Typically, the rate of red blood cells in women depends on their age and general physical condition.

It should be remembered that the norm of red blood cells in men is slightly higher than in women - this is due to the peculiarities of the body structure of each sex.

The scarlet color of the blood of all mammals, including humans, is given by red blood cells, of which there are a lot in the bloodstream. These bodies are called red blood cells.

Red blood cells externally resemble a biconcave plate, painted bright scarlet. Red cells do not have a nucleus because they are designed to move quickly and efficiently with the bloodstream throughout the body.

The birth of an erythrocyte occurs in the bone marrow: first, the mother cell is transformed into a reticulocyte (young erythrocyte), losing its nucleus and acquiring hemoglobin.

The reticulocyte then matures and is released into the blood as an adult healthy cell. Sometimes reticulocytes enter the blood immature, a small number of them in in some cases is accepted as normal, but most often the presence of young red blood cells indicates a pathological process occurring in the body.

A healthy red blood cell lives on average three months (100 – 120 days), then enters the liver, spleen or kidneys, is broken down and excreted from the body.

During their life, red blood cells perform several important functions:

  • enrich all parts of the human body with oxygen;
  • deliver waste oxygen (carbon dioxide) to the lungs for exhalation;
  • participate in maintaining acid-base balance in organism;
  • support some metabolic processes.

Hemoglobin, which is part of red blood cells, is responsible for gas exchange. Therefore, in a blood test, it is important to identify not only the percentage of red blood cells with other blood cells (hematocrit) and their absolute quantity, but also the hemoglobin content.

It is customary to use Latin abbreviations to denote these indicators. So, the erythrocytes themselves are written as RBC (red blood cel - “red blood cells”), the hematocrit is written as Ht, and hemoglobin is written as Hb.

In addition to these indicators, the blood test must take into account the number and proportions of other blood cells.

Red blood cell norm

Every person should donate blood once a year for general analysis. Since the level and quality of red blood cells is difficult to determine by appearance and the person’s condition, regular examination is necessary.

A person who feels great may have an increased or decreased number of red cells in the blood, which is actually quite a dangerous factor.

As a result of a deviation in the level of red blood cells from the norm, a disruption of the blood supply system occurs, which leads to tissue necrosis, and after this – to organ necrosis.

Advanced cases of erythropenia (lack of red blood cells) or erythrocytosis (excess red blood cells) can be fatal.

During the analysis, sometimes not only the number of red blood cells is considered, but also their quality. Normally, red cells should be the same color and size, and have a plate shape.

If some red blood cells are enlarged or reduced, have lost their color or turned into ring-shaped cells, then doctors determine the fact of deviation from the norm and prescribe additional studies.

It is extremely important for a woman not to neglect annual blood tests, since menstruation causes a regular loss of red blood cells, and therefore it is necessary to monitor their replenishment.

In addition, women have a slightly lower normal number of red blood cells than men.

This is explained by the fact that less muscle mass Women require fewer red blood cells for oxygenation than men.

The norm of red blood cells in women depends on age. A young woman usually has fewer red blood cells than an older woman.

There is a special table to determine compliance with the standard.

Pregnant women experience a decrease in the number of red blood cells during pregnancy.

This is due to an increase in the total amount of plasma, which is natural for pregnancy and therefore is not considered a deviation within acceptable limits.

Erythropenia in women

Erythropenia is commonly referred to as a low level of red blood cells in the blood of women and men. This condition may be caused external factors, at the end of which the balance and number of red cells returns to normal.

For example, after big physical activity A blood test will show a low red blood cell count, but after rest, a repeat test will indicate that the body has returned to normal.

Erythropenia can also be caused by poor nutrition, which represents a complete or partial refusal of animal protein.

As a rule, these are fasting, separate or carbohydrate diets, strict vegetarianism or fasting. Such abstinence must be agreed with a doctor.

More serious factors can also cause the development of erythropenia. For example, with tumors, metastases or genetic disorders in the bone marrow, the production of red blood cells is reduced, which negatively affects the entire circulatory system.

Insufficient production of red blood cells (including platelets) can be caused by anemia caused by a lack of iron, vitamin B 12 or folic acid.

Such anemia can develop in both pregnant and non-pregnant women.

The cause of a decrease in the level of red blood cells can be excessive blood loss resulting from injuries or complex operations. Heavy menstruation can also cause hemorrhagic anemia in a woman.

Sometimes a lack of red blood cells occurs as a result of their early destruction.

On healthy cells can "attack":

Treatment of erythropenia depends on the disease that caused it. Some disorders are treated on an outpatient basis, while other diseases require hospitalization and inpatient therapy.

Sometimes treatment with drugs and a special diet is sufficient, but in severe cases Doctors may prescribe artificial enrichment of blood with red blood cells.

Erythrocytosis in women

An increased content of red blood cells in the blood is called erythrocytosis. Like erythropenia, erythrocytosis does not have pronounced symptoms.

Only advanced cases can manifest themselves in the form of weakness, headaches, dizziness and fainting. Otherwise, erythrocytosis in women and men is asymptomatic.

Temporary erythrocytosis can be caused by severe overheating - a long stay in a bathhouse or sauna, working in a hot workshop, or simply heat stroke - all this provokes an increase in the level of red blood cells. After the body is restored, red blood cells usually return to normal.

Dehydration or hypoxia (lack of oxygen) often causes erythrocytosis, which disappears after replenishing the lack of water or air in the body.

In women, the cause of temporary erythrocytosis can be menstruation - therefore, donating blood for analysis during menstruation is not recommended. Most often, the results of such tests show an overestimated number of red blood cells in women.

Dangerous causes of erythrocytosis that require treatment under medical supervision are:

  • cancers that produce tumors and metastases to the bone marrow;
  • the presence of suppuration (cysts, abscesses, peritonitis);
  • polycythemia;
  • diabetes;
  • diseases of the kidneys, liver, spleen;
  • inflammatory diseases;
  • lung diseases (including bronchial asthma);
  • heart disease.

For diagnosis and treatment, when erythrocytosis is detected in a woman, doctors prescribe a full examination.

The patient must undergo an ultrasound, a repeat (more detailed) blood test, and be examined by specialized specialists. In some cases, a bone marrow biopsy may be required.

In general, with the correct ratio of leukocytes, platelets and red blood cells, women may have their own norm, slightly different from the existing standards of indicators.

But at the same time, it must be remembered that only a qualified specialist can detect a deviation from the norm; it is not recommended to independently decipher the blood test and make a diagnosis.