Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Premenstrual Spotting Every Month After MTP. Hypothyroid, PCOD, Low TSH, Progesterone. On Duphaston, No Response. Advise ?

i am a 31 yr old female , who had an MTP with medical method on 10 jan 2012 , following which i have pre menstrual spotting every month -subclinical hypothyroidism , initial tsh 5.9 , now on 50 microgram thyronorm , latest tsh is 2.1 - prolactin initially 32, now 27. -PCOD Profile - wnl . AMH 3.2, low progesterone levels on day 7 po ... 9, 2.5 , 2.5 , 2.3, for four cycles started duphaston 10 mg bd day 15-24 , two cycles no response ....
Thu, 28 May 2020
Report Abuse
Endocrinologist,  's  Response
Hi,

Which medical method was used for MTP. was it Medroxyprogesterone depot injection or an intrauterine device?

If you had used medroxyprogesterone, that indeed can cause irregular /absent periods and spotting.

Your thyroid seems to be well controlled. Progesterone should ideally be checked on day 21 of the cycle or a week before next cycle.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr. Binu Parameswaran Pillai
I find this answer helpful
Endocrinologist,  Dr. Binu Parameswaran Pillai's  Response
Hello,

Please feel free to ask a follow up question if you think so. As i mentioned earlier, progesterone is best checked a week before your next period.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr. Binu Parameswaran Pillai
I find this answer helpful
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.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Recent questions on Thyroid-stimulating hormone


Loading Online Doctors....
Premenstrual Spotting Every Month After MTP. Hypothyroid, PCOD, Low TSH, Progesterone. On Duphaston, No Response. Advise ?

Hi, Which medical method was used for MTP. was it Medroxyprogesterone depot injection or an intrauterine device? If you had used medroxyprogesterone, that indeed can cause irregular /absent periods and spotting. Your thyroid seems to be well controlled. Progesterone should ideally be checked on day 21 of the cycle or a week before next cycle. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Binu Parameswaran Pillai