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Thyroid after delivery
Had c-sec in dec 2024-ivf pregnancy. Previous tests always had normal tsh value. In blood test at 7 months postpartum tsh is 18. Doc prescribed thyronorm 25 for 45 days. Not breastfeeding baby, stopped at 4 months pp.
Will thyroid come to normal? What else to follow apart from medication?
Periods started at 2 months pp. Flow has been regular for 3-4 days, but this time it was very less at 3rd day. Is this because of thyroid?
Answers (12)
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Need more details on case kindly connect me
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Hello
Thyroid profile always repeat every 3 to 6 months, as per fluctuating TSH values, and get your body and brain fit as the proper thyroid hormones are required for the same. Scanty Flow on third day may be normal only, But you can go for investigation like CBC, Thyroid profile, as level of hemoglobin and Thyroid values, if not done in last 3 months are required.
Next Steps
CBC, TFT
Health Tips
Do weight reduction diet and exercises for better control of thyroid hormone
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Hello,
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Take a glass of milk daily.
Thanks.
Dr☆MPB ,
Dr Praful Mahamuni,
Family Doctor,
MBBS .
Jai hind. 🇮🇳
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Repeat thyroid function tests and further line of treatment depends on the results.
Take diet rich in fresh vegetables, fruits, nuts, fish if you take non veg.
Avoid cauliflower, cabbage, kale, sprouts,
Avoid excess soya products, excess sugar processed foods
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Connect
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Ver low dose . Inappropriate.
At least u need 100 mcg one in empty stomach.
Two months. Add calcium as thyroxine is calcium depleting agent so bones become weak.
Shalcal xt one at night.
Nothing else required. Listen i started thyroxine at the agebof 36 now i m 70 still on 100 mcg my tsh is 1.64. So no body can tell u whether it goes or not.
OK.
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Hypothyroidism is a common post partum manifestation in many individuals. Hypothyroidism in itself can cause a myriad of menstrual abnormalities ranging from menorrhagia to oligomenorrhea. In your case however it could be leading to oligomenorrhea in its very early stages where your menses either don't bleed as they used to or have shortened in days of bleeding and in late stages can lead to a completely missed period. Scary i agree but absolutely treatable!
Firstly the dosing of thyroxine in hypothyroidism is a weight based formula where you calculate based on your body weight and then prescribe a slightly higher dose filling which the dosage is titrated to maintain a TSH within normal limits. So I feel that your dosing of thyroxine is inadequate at present and needs to be changed to appropriate levels to prevent systemic manifestations.
Secondly, if you want to confirm this then you could run another TSH and a free-T4 level after 4 weeks of taking thyronorm 25 mcg to see if your TSH has been controlled or if it requires a higher dose to fix the issue.
Now when it comes to stopping the thyroxine tablet many considerations are to be made. If with the dose of thyroxine your TSH comes under control then the dose can be titrated and adjusted slowly but steadily to lower doses until there is a point where you would not require them at all. However, let me inform you that it is a time consuming process and sudden stoppage of thyroxine out of the frustration of popping pills everyday can lead to dire consequences.
Next Steps
I would suggest you change the dose of thyroxine to the appropriate dose then I feel you will find a general improvement in quality of life. if you want more suggestions or recommendations then feel free to contact me! I am always happy to help.
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Only time will say whether it will come to normal or need life long thyroid hormone supplementation. Regular follow up with your physician and every 3-6 months Thyroid profile test will answer the question.
Thanks and regards
Dr (Major) Sandip Nath
MD Medicine (Army Hospital R&R, Delhi)
DrNB Gastroenterology (AIG, Hyderabad)
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Kindly take an instant consultation or connect at 9999 x 104 x 408 and give full details.
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Dr. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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