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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Lack Of Menstruation Despite Taking Thyronorm And Duphaston For PCOD?

am a pcod patient. tsh is less than 0.001. taking thyronorm 125mcg. og doctor precribed me clome 100mg and did scan but no ovulation. then she prescribed me duphaston 10MG OD for 10days. usaually 3 days after stopping duphaston i will get mensus. but now it was 7 days passed away no periods and no signs of pregency too. except leg pain. not yet tested urine pregency. please give suggestions
Tue, 12 May 2020
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General & Family Physician,  's  Response
Hi,

Your TSH levels are very low which may indicate over treatment with thyroid supplements. The aim of thyroid supplementation is to keep the TSH levels between 0.4 to 3 which is a very safe level. Values lesser or more should necessitate monitoring to see that the levels fall between 0.4 to 4.5.

Your TSH levels are very low. I would suggest you to reduce the dose to 100 mcg and repeat the thyroid tests in 20 days. Dose adjustments must be done to bring the thyroid levels to normal.

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

Regards,
Dr. Saranya Ramadoss, General & Family Physician
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What Causes Lack Of Menstruation Despite Taking Thyronorm And Duphaston For PCOD?

Hi, Your TSH levels are very low which may indicate over treatment with thyroid supplements. The aim of thyroid supplementation is to keep the TSH levels between 0.4 to 3 which is a very safe level. Values lesser or more should necessitate monitoring to see that the levels fall between 0.4 to 4.5. Your TSH levels are very low. I would suggest you to reduce the dose to 100 mcg and repeat the thyroid tests in 20 days. Dose adjustments must be done to bring the thyroid levels to normal. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Saranya Ramadoss, General & Family Physician