Having Menstrual Bleeding, Hair Loss, Dry Hair, Bloated Tummy And Acidity. Thyroid Lower Than Normal. Should I Take Medication?

Posted on Wed, 10 Jul 2013

Question: I had the following symptoms for the past 9-10 months: very heavy menstrual bleeding, sometimes not regular, hairloss, dry hair, bloated tummy, acidity, intolerance to cold and moodswings. Hence I did a thyroid function test. The T4 level(4.080) was a little lower than the normal range(4.87-11.72microgm/dl). However the TSH level(1.417) is in the normal range (0.35-4.94). Should I take any medication? I had consulted a GP who adviced me Thyroxine 12.5 microgram for 3 months after which the T3,T4,TSH levels will be monitored again.

Answered by Dr. Shehzad Topiwala (6 hours later)

I see. Have you started the thyroxine yet? I would like to know

Regardless, I would like to say that in this circumstance it is important to rule out an uncommon condition called secondary hypothyroidism. This requires comprehensive lab testing for

1 TSH
2 Free T4
3 Total T4
4 Total T3
5 T3 resin uptake
6 CBC
7 CMP
8 Prolactin

How has your weight been ?

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shehzad Topiwala (12 hours later)

Dear Doctor,

Thank you for your reply.

I had started loosing weight after my 3rd delivery. I had reached 64 from 74. However, when I checked my weight yesterday, it was 71 kg. I have gained this weight in the last 3 months. also, I am still breastfeeding my 19 month old son.

Thanks and regards,
XXXXX

Answered by Dr. Shehzad Topiwala (8 hours later)

You are most welcome.

Have you started the thyroid pill or not?

I strongly encourage you perform these lab tests and see an endocrinologist in person

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shehzad Topiwala (15 hours later)

Dear Doctor,
I have not yet started any medication yet. I wanted to have a 2nd opinion before I start the medication

Answered by Dr. Shehzad Topiwala (5 hours later)

I see. It is important to get the above tests done and see an endocrinologist for thorough evaluation

Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar