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My 48-year-old mother has hypothyroidism and is bleeding for two weeks. Please advice.

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Patient's Query

Hi doctor,

My mother is 48 years old. She is having irregular spotting. She missed her period last month. She consulted a doctor and did some blood tests. Her sonography was normal. But her TSH was high around 17 mIU/mL and she is suffering from hypothyroidism. The doctor advised her to take Eltroxin 50 mg. Now she is having bleeding with low to medium flow for the past two weeks. Please advise.
Answered by Dr. Sravanthi Nuthalapati

Education:

MBBS

Professional Bio:

Dr. Sravanthi Nuthalapati is a skilled and compassionate Obstetrician and Gynecologist. Her expertise includes high-risk pregnancy management, infertility evaluation, menstrual disorder treatment, PCOS management, and comprehensive prenatal and postnatal care. She is also well-versed in minimally invasive gynecological procedures and is committed to providing personalized and evidence-based care for women’s health at every stage of life.

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Hi,

Welcome to icliniq.com.

Kindly share her scan reports. Thyroid abnormalities can cause some bleeding irregularities. As your mother is in perimenopausal age, she can have irregular cycles due to anovulatory cycles. As she has bleeding for two weeks, it is good to take hormonal medications to control bleeding. She needs to take some supplements to improve her hemoglobin levels.Your mother can take tablet Livogen Z (Ferrous fumarate+Folic acid+Zinc sulfate) daily once after taking food for a month. She can also take tablet Trapic MF (Tranexamic acid with Mefenamic acid) or Pause MF thrice daily after food while having a heavy menstrual cycle. She can continue taking Eltroxin 50 mg (Thyroxine) daily on empty stomach after brushing her teeth, Primolut N 10 mg (Norethisterone) thrice daily till her bleeding stops. After that, she can take Primolut N 10 mg once daily for the next 14 days and then stop taking them completely. Your mother can get her periods after stopping them. It is good to avoid missing pills in between and it may lead to irregular bleeding again. She needs to reduce her weight, do regular exercises with diet modifications. She should avoid taking goitrogenic foods such as cabbage, cauliflower, broccoli, radish, and soy products. If the bleeding persists, she needs to have an endometrial evaluation.

Take care.

Investigations to be done

Your mother has done an ultrasound scan recently and she has a TSH (thyroid-stimulating hormone) of 17 mIU/L.

Treatment plan

Your mother can take tablet Livogen Z daily once after taking food for a month. She can take tablet Trapic MF (tranexamic acid with Mefenamic acid) or Pause MF thrice daily after food while having a heavy menstrual cycle. She can continue taking Eltroxin 50 mg daily on empty stomach after brushing her teeth. She can take Primolut N 10 mg (Norethisterone) thrice daily till her bleeding stops. After that, she can take Primolut N 10 mg once daily for the next 14 days and then stop taking them completely. Your mother can get her periods after stopping them. It is good to avoid missing pills in between and it may lead to irregular bleeding again.

Preventive measures

Your mother needs to reduce her weight. She needs to do regular exercise with diet modifications. She should avoid taking goitrogenic foods such as cabbage, cauliflower, broccoli, radish, and soy products.

Regarding follow up

If the bleeding persists, she needs to have an endometrial evaluation.
Medically reviewed by Dr. Sneha Kannan
Published At April 9, 2020
Reviewed At February 2, 2026

Education:

MBBS

Professional Bio:

Dr. Sravanthi Nuthalapati is a skilled and compassionate Obstetrician and Gynecologist. Her expertise includes high-risk pregnancy management, infertility evaluation, menstrual disorder treatment, PCOS management, and comprehensive prenatal and postnatal care. She is also well-versed in minimally invasive gynecological procedures and is committed to providing personalized and evidence-based care for women’s health at every stage of life.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Sneha Kannan is a skilled Dental Surgeon with expertise in providing general dental care, including scaling, fillings, and preventive treatments. She does oral surgery procedures such as extractions and minor surgical interventions. She does procedures in restorative dentistry, including crowns, bridges, and dentures. She is an expert in doing endodontic treatments such as root canal therapy. She is well-versed in doing procedures in cosmetic dentistry, including teeth whitening and smile correction. She can provide pediatric dental care for children’s oral health and preventive treatments. She promotes oral hygiene awareness and preventive dental practices.  

This doctor is not available for online consultations on the platform anymore.

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

Dr. Sravanthi Nuthalapati
Dr. Sravanthi Nuthalapati

Obstetrics and Gynecology

Education:

MBBS

Professional Bio:

Dr. Sravanthi Nuthalapati is a skilled and compassionate Obstetrician and Gynecologist. Her expertise includes high-risk pregnancy management, infertility evaluation, menstrual disorder treatment, PCOS management, and comprehensive prenatal and postnatal care. She is also well-versed in minimally invasive gynecological procedures and is committed to providing personalized and evidence-based care for women’s health at every stage of life.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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