Could my delayed period in hypothyroidism be due to TSH?

Question

Hello doctor,

I am a 21-year-old female. I have hypothyroid for the past one and a half years, and currently on 25 mg Thyronorm. Things have been normal, but my period has been delayed this time, it is exactly 46 days since my last one.

I feel tired most part of the day, and currently, due to lockdowns, I could not exercise much. Can you please suggest some nutrition and about what can I do to get my period and if my doubt is correct thyroid levels must have been increased. But I cannot take a test right now. Last time, when I checked before one year the amount of TSH was near normal (2.1).

Please guide me.

Thank you very much for your guidance in advance.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern.

Do you have any other associated symptoms like painful menstruation? Do you have headaches? For how long this problem is going on? Do you feel you bleed more or is it usual? There are many causes of irregular menses. Any mental stress?

Or having exams or any other stress-related activity can affect the regularity. There are hormonal disturbances that can lead to menses irregularities. Levothyroxine dose (25 mcg) is very low. If you cannot do your blood tests I think you can increase it to 50 mcg and try to check TSH (thyroid-stimulating hormone) in six weeks hopefully until then labs will be open.

Regarding nutrition, you need to eat a low carbohydrate diet without any sugary juices or added sugars in any way. Take a good sleep of seven to eight hours. Drink plenty of water at least two to three liters. If you practice intermittent fasting, it will give your health a great boost.

I hope this helps.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

Thank you for your detailed feedback.

Menses irregularities will improve once you start increasing the dose and try to relax with meditation and mindfulness like taking deep breaths. Sit comfortably with your back straight. Put one hand on your chest and the other on your stomach. Breathe in through your nose.

The hand on your stomach should rise. The hand on your chest should move very little. Exhale through your mouth, pushing out as much air as you can while contracting your abdominal muscles. The hand on your stomach should move in as you exhale, but your other hand should move very little.

Continue tobreathe in through your nose and out through your mouth. Try to inhale enough so that your lower abdomen rises and falls. Count slowly as you exhale. If you find it difficult to breathe from your abdomen while sitting up, try lying down.

Put a small book on your stomach, and breathe so that the book rises as you inhale and falls as you exhale. Regarding diet, I already discussed about low carbohydrate diet and intermittent fasting will have lots of benefits.

I hope this helps.

Please revert back if there is any query.

Thank you.