I am 24 years old female, I am suffering hypothyroidism since from three years. I suffering irregular periods. I am getting my periods for every three months and it is taking more time to stop. Present am married. I heard lost problems about pregnancy due to thyroid. My TSH levels is not in control. It is increasing nearly changing around 10 to 20. Past one year am using thyroid sodium capsules 25 mcg. Please give solution to my problem.

Dr. Prabhakar Laxman JatharEndocrinologist46yrs exp

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Tsh level of 10 to 20 milli units/l is to high shows that hypothyroidism is not in control at all. To achieve good control in hypothyroidism tsh should be between 3 to 4 milli units/l. At that level all the symptoms are well controlled. Menstrual period irregularity is very typical of uncontrolled hypothyroidism. Even for conception to occur, tsh levels have to be as low as 0.1 to 2 milli units/l and later during the pregnancy too levels have to be: 1st trimester 0.1 to 2 milli units/l, 2nd trimester 0.3 to 3 milli units and 3rd 0.3 3.3 milli units/l. This means dosage of thyroxine has to be adjusted appropriately. Thanks. 

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