Why ESR increases in Menstruation?

Answered by 1 Apollo Doctors

Dr Bhanu Prakash

General Practitioner

MBBS
AFIH
Advanced certificate in critical care medicine
Fellowship in critical care medicine
10+ Yrs

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ESR increases during menstruation because there is a significant decrease in the hematocrit levels which results in faster fall of red blood cells which in turn leads to increase in ESR levels.

Dr. Bhanu Suggests...

Take a ANTIGLIADIN IGG Test or Take a PLACENTAL GROWTH FACTOR (PLGF) Test

Book ANTIGLIADIN IGG Test Book PLACENTAL GROWTH FACTOR (PLGF) Test

Answered 24/07/2025

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I was diagnosed with H. pylori, which caused an ulcer. I also have chronic non atrophic gastritis, lax cardia, GERD, and piles. Due to these issues, I have lost 12 kg. I delivered my second baby in January 2020, and these problems started around April/May. My first child is 3 years old. I have been on medication for the past 10 months, but still do not feel fully relieved. Recently, I did a CBC with ESR test, and some values were slightly abnormal. My PCT should be less than 0.28, but it is 0.33. Hemoglobin is 13.5 (previously 14.7 in November), lymphocytes are 49.7 percent, and my ESR increased from 2 to 20. Should I be concerned about these changes in my report? Do they indicate any serious problem?

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