Iron Infusion – for Confirmed Iron Deficiency

When iron deficiency determines your energy levels – and tablets are not enough.

Iron Infusion – for Confirmed Iron Deficiency
Who it is for
Confirmed iron deficiency when tablets are not enough or not tolerated
Appointment
Laboratory tests and a clear indication are required, then the infusion
Costs
From CHF 270; often covered by basic insurance where indicated
Dr. med. Anna Margareta Wagner

Medical review of the indication and personal support during iron treatment.

Book iron deficiency appointment

Infusion from CHF 270 · cover depends on the indication

Prefer to call · +41 61 666 62 10
Medically reviewed on · Dr. med. Anna Margareta Wagner, FMH Gynäkologie und GeburtshilfeSpalenvorstadt 3 · 4051 Basel · +41 61 666 62 10
Quick answer

The iron infusion is a medical treatment with a clear indication, not a wellness service. It is performed only when a deficiency has been confirmed. From CHF 270; often covered by basic insurance when indicated. We also clarify the cause – for women, usually the intensity of bleeding.

Further information
At a glance
At a glance

Fatigue that does not improve with sleep. Shortness of breath climbing stairs. Concentration problems, hair loss, brittle nails, reduced exercise capacity. Iron deficiency is common in women – and one of the few causes of exhaustion that can be clearly measured and specifically treated.

Concern
01 – Concern

The most important point first

The iron infusion is not a wellness offering but a medical treatment with a clear indication. We only perform it when a deficiency has been confirmed and an infusion is the right response.

From CHF 270 · based on laboratory values and medical indication · often covered by basic insurance when indicated.

Treatment
02 – Examination

The gynaecological point: the cause, not just the infusion

In women, the most common cause of iron deficiency is blood loss during menstruation. This is the decisive difference from a pure infusion offering: we do not just refill the store, we clarify why it is emptying.

  • 01heavy or prolonged bleeding – often underestimated because women consider their own bleeding intensity normal
  • 02fibroids and adenomyosis – recognisable and treatable on specialised ultrasound
  • 03polyps and coagulation disorders
  • 04copper IUD, which can increase bleeding intensity
  • 05diet, especially with a vegetarian or vegan diet
  • 06absorption or loss causes outside gynaecology – in which case referral is arranged
Who it's for
03 – Who it's for

When an iron infusion makes sense

  • confirmed iron deficiency with or without anaemia
  • oral iron supplements do not work sufficiently or are not tolerated (nausea, abdominal pain, constipation)
  • malabsorption in the gut, for example with coeliac disease or inflammatory bowel disease
  • rapid correction needed, for example with pronounced anaemia or before a planned procedure
  • iron deficiency after birth or with significant blood loss
Cost
Cost

Cost coverage – explained honestly

With appropriate indication, intravenous iron therapy is a service covered by mandatory health insurance. This generally requires that an iron deficiency has been confirmed and that oral treatment is insufficiently effective or not tolerated.

However, it is not conclusively regulated at which ferritin value a deficiency requiring treatment is present. Opinions vary widely, and courts have in individual cases ruled in favour of insurers because the values were judged not to be low enough.

It is part of our duty of disclosure to inform you in advance about a possible non-coverage. You will never be surprised by a bill afterwards.

Clear situation

Low ferritin, symptoms present, oral therapy unsuccessful or not tolerated: treatment is usually covered.

Borderline range

Ferritin in the lower normal range, symptoms present

coverage is not guaranteed. We tell you this before treatment and record it in writing so you can decide whether you wish to bear the costs yourself.

No confirmed deficiency

In this case we do not perform an iron infusion – not even as a self-pay service. Iron with full stores is not merely ineffective, but potentially harmful.

Laboratory
Laboratory

What is determined before treatment

Ferritin · haemoglobin and red blood cell indices (MCV, MCH) · transferrin saturation depending on the situation · inflammation markers (CRP), since ferritin can be falsely elevated during inflammation · depending on the situation, thyroid function, vitamin B12 and vitamin D.

The inflammation marker is important

normal ferritin does not rule out a deficiency during active inflammation. Without this additional information, the value cannot be meaningfully interpreted.

Safety
Safety

Risks and safety

Intravenous iron is well studied but not harmless. Before treatment we discuss hypersensitivity reactions, which can rarely be severe – which is why administration takes place exclusively at the practice with post-observation and emergency readiness.

Temporary symptoms such as headache, nausea, taste changes, joint or muscle pain and a feeling of warmth are possible. With repeated doses of iron carboxymaltose, phosphate levels can drop; this value is then monitored. If infusion fluid enters surrounding tissue, permanent skin discolouration can occur – which is why administration is slow and monitored.

The iron infusion is not performed in cases of iron overload, anaemia without confirmed iron deficiency, known hypersensitivity to the preparation, and during the first trimester of pregnancy. From the second trimester, treatment is possible according to the product information and individual assessment.

Related topics
Process
04 – Process

How your infusion appointment works

You should know at every point what comes next. No surprises, and no open questions you take home with you.

Please bring any existing laboratory values. If no current values are available, we determine them before treatment – without laboratory testing, we do not perform iron infusions.

  1. Step 01

    Assessment and laboratory

    Symptoms, bleeding history, diet, medications, pre-existing conditions and laboratory values. Where necessary, gynaecological examination and ultrasound to clarify the cause.

  2. Step 02

    Indication and disclosure

    We determine the dose and number of infusions and discuss benefits, risks and the cost question.

  3. Step 03

    Infusion

    Administration of an intravenous iron preparation (iron carboxymaltose) as a short infusion at the practice. Afterwards you remain with us for monitoring for about 30 minutes.

  4. Step 04

    Follow-up check

    Laboratory check several weeks after the last dose – before that the ferritin value is not meaningful. It is then decided whether a further dose is needed.

  5. Step 05

    Treating the cause

    If a treatable cause of bleeding is present, we plan its therapy – so the deficiency does not recur.

Frequently asked questions
05 – Frequently asked questions

What patients often ask.

Medically reviewed by Dr. med. Anna Margareta Wagner

Board-certified specialist (FMH) in Gynaecology and Obstetrics, specialising in intimate surgery, ultrasound diagnostics and individual women's health.

Last medically reviewed:

Sources & associations
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Cancellation deadlines and no-show fees

06 – Appointment

Book your appointment online.

Online via Doctena or by phone at +41 61 666 62 10.

Notes

Emergency: For acute, severe symptoms outside office hours, call the medical emergency line 144 or go to the emergency department of the University Hospital Basel.

Medical notice: The content of this page is for general information only and does not replace personal medical advice, diagnosis or treatment. Measures are discussed individually during the consultation and are based on medical history, examination and current guidelines.

Privacy: Doctena's privacy policy applies to online bookings made via Doctena. Practice-internal data is processed in accordance with the Swiss Data Protection Act (DSG).

Praxis Dr. WagnerArt of Gynecology
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