Myths vs facts: Eisen-Ferritin Selbsttest and Wechseljahre

Myths vs. Facts: Iron-Ferritin Self-Test and Menopause Myth: An iron-ferritin self-test can replace a doctor's visit. Fact: Self-tests provide only a rough indication and often lack standardization. Ferritin is an acute-phase protein that rises with inflammation – a self-test alone cannot distinguish iron deficiency from infection or chronic disease. During menopause, hormonal shifts and changing menstrual patterns affect iron metabolism. Low ferritin may suggest iron deficiency but also thyroid issues or chronic illness. High ferritin may indicate inflammation, liver disease, or hemochromatosis. Without clinical interpretation (including CRP, transferrin saturation, complete blood count), the test has limited value. Myth: Women in menopause need more iron. Fact: After menopause, iron requirements decrease because menstruation stops. Many postmenopausal women actually have elevated ferritin levels. A self-test might falsely suggest deficiency. Excess iron can promote oxidative stress and is linked to metabolic risks. Evidence is mechanistic and observational – there is no strong support for routine iron supplementation in menopause. Conclusion: Self-tests can be a screening tool but not diagnostic. Any abnormal result should be followed up by a healthcare provider, especially during menopause.