HomeAnswersObstetrics and Gynecologydelayed periodWhat should I do for delayed periods with weight gain and increased TSH levels?

My period is getting delayed this month with weight gain and increased TSH levels. Why?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At June 6, 2020
Reviewed AtSeptember 1, 2023

Patient's Query

Hello doctor,

I am a 24-year-old female. My weight is 125 lbs, height is 5.3 feet. My complaint is face chubbiness, and I gained about 11 in the past 6 months, and the main problem is that I missed my menses this month. My LMP was on 15th April. As per gynecologist advise I did CBC, fasting sugar, TSH, prolactin, HCG, total testosterone, DHEAS, FSH, LH, USG pelvis for PCOD. Doctor advised to take Primolut N but I have not yet started the tablet. Do I need to start that and what is the line of treatment? All reports were normal except the two TSH -13.740, DHEAS-53.19. Please help.

Hello,

Welcome to icliniq.com.

Yes, you can take the Primolut N tablet as advised by your gynecologist. As your periods have gotten delayed by almost more than 45 days, it is unlikely that they would come naturally, even if it does, it may not be similar to your natural menstrual pattern, this is because this is an anovulatory cycle (meaning no ovulation must have occurred in this cycle). Usually, when periods come after such a delay, it could range from spotting to scanty flow to excess flow, or sometimes prolonged bleeding which may need hormonal medications to stop the bleeding. I would like to know if you face any acne or unwanted facial hair growth problems, if so, then you must be having PCOS (even if the USG is normal). And yes, you definitely need to start treatment for your hypothyroidism as your TSH (thyroid-stimulating hormone) level is high. Thyroid hormonal disturbance are quite common with PCOS (polycystic ovary syndrome), and also it can disturb the menstrual pattern too. So, definitely you need to start your thyroxine replacement medications. DHEAS (dehydroepiandrosterone) is low, so there is nothing to worry about that. As you complained about weight gain over the recent few months, it would be advisable to reduce your weight, do regular exercises, and eat a proper healthy diet.

I hope this helps.

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

Dr. Sravanthi Nuthalapati
Dr. Sravanthi Nuthalapati

Obstetrics and Gynecology

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