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How do I treat panic attacks, and anemia due to heavy menstrual flow other than birth control pills and antidepressants?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have had panic attacks and anxiety attacks. Also, I have periods almost every day, resulting in my blood iron level dropping, because of which I have a high pulse rate and feel fatigued all day, and I am in bed all the time. Also, I get diarrhea and stomach aches whenever I take iron supplements and take Cyclizine. I also tried taking Sertraline, but it did not help with the condition. Therefore, I do not want to take birth control or antidepressants as the medication for this condition. Kindly help me with some medicines for the same.

Please help.

Thank you.

Answered by Dr. Richa Agarwal

Education:

MBBS

Professional Bio:

Dr. Richa Agarwal is an Obstetrician and Gynecologist with 26 years of clinical experience. She completed her MBBS and DGO at the Rani Durgavati Vishwavidyalaya. She treats health issues in women during and after pregnancy and is concerned with the fetus's health. Currently, she is practicing in Gurgaon, Haryana, India.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I have gone through your query and understand your concern. Your symptoms suggest iron deficiency anemia, for which iron infusion therapy is good. For high pulse and anxiety, I would suggest beta-blockers, and no need to take an antidepressant. And for the periods, I would suggest oral contraceptive pills that will not cause depression.

Kindly revert for more queries.

Thank you.

Patient's Query

Hi doctor,

Thank you for your reply.

Some of my friends take oral contraceptives, and when enquired with them, they often feel depressed and have mood swings. I was prescribed a progesterone pill I need to take until I want to start a family. However, I am in my twenties and do not want to take progesterone pills daily. Also, my blood test reports show low iron levels. I have also attached MRI (magnetic resonance imaging) scan reports. Which contraceptive do you suggest? Is there any other alternative for progesterone pills?

Kindly help.

Answered by Dr. Richa Agarwal

Education:

MBBS

Professional Bio:

Dr. Richa Agarwal is an Obstetrician and Gynecologist with 26 years of clinical experience. She completed her MBBS and DGO at the Rani Durgavati Vishwavidyalaya. She treats health issues in women during and after pregnancy and is concerned with the fetus's health. Currently, she is practicing in Gurgaon, Haryana, India.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

I would suggest a combined oral contraceptive pill, Depo-Provera (Medroxyprogesterone acetate) injection, or intrauterine devices. Also, you can take iron or vitamin D supplements. And for the stress, I would suggest beta-blockers.

I hope this helps.

Thank you.

Medically reviewed by iCliniq medical review team
Published At July 21, 2022
Reviewed At February 6, 2026

Education:

MBBS

Professional Bio:

Dr. Richa Agarwal is an Obstetrician and Gynecologist with 26 years of clinical experience. She completed her MBBS and DGO at the Rani Durgavati Vishwavidyalaya. She treats health issues in women during and after pregnancy and is concerned with the fetus's health. Currently, she is practicing in Gurgaon, Haryana, India.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Richa Agarwal is an Obstetrician and Gynecologist with 26 years of clinical experience. She completed her MBBS and DGO at the Rani Durgavati Vishwavidyalaya. She treats health issues in women during and after pregnancy and is concerned with the fetus's health. Currently, she is practicing in Gurgaon, Haryana, India.

This doctor is not available for online consultations on the platform anymore.

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