Hi, My mother is 48 years old. She experienced irregular spotting and missed periods last month. Consulted a doctor and got blood tests, sonography done. Sonography was normal but her TSH was high..around 17 and she is suffering from hypothyroidism. The doctor prescribed Eltroxin 50mg tablets and she has been bleeding in low to medium period flow since 2 weeks. The doctors aren't available due to COVID-19. Please advise.
Hello, Could you share the scan report if it's possible for you. Thyroid abnormalities do cause some bleeding irregularities, and also you mom is in the perimenopausal age group, where anovulatory cycles are common which can lead to irregular periods. As she has been bleeding for the past 2weeks , and is not stopping, it would be better she starts of with the Hormonal medications to control the bleeding right away. I have mentioned the same below. Also some supplements to improve her hemoglobin which she would have lost in the bleeding would be helpful. - Ultrasound done recently says Normal, - TSH- 17, started on Eltroxin 50mcg already. - Tablet. Livogen Z Daily once after food for a month (Iron supplements). -Tab. Trapic MF or Pause MF thrice daily after food during heavy menstrual flow (can stop if flow is normal). - Continue Eltroxin 50mcg daily once empty stomach after brushing teeth. - Tablet Primolut N 10mg (5mg - 2tablets, 2-2-2) THRICE daily TILL BLEEDING STOPS followed by dose reduction to --> Tablet Primolut N 10mg (5mg - 2tablets, 2-0-2) TWICE DAILY for 5days followed by dose reduction to --->Tablet Primolut N 10mg (5mg - 2tablets, 0-0-2) ONCE DAILY for next 14days. & then complelety stop it. - She will get her periods after stopping. - Avoid missing the pills in between that may lead to irregular bleeding again. - Other branda to consider Sysron N, Regesterone. -Weight reduction. - Regular excercises. - Diet modifications. - Avoid goitrogenic foods like Cabbage ,Cauliflower, Broccoli, Radish & soya products etc. - To upload the reports on app prior to next consultation. If bleeding keeps persisting, may need endometrial evaluation.