Bleeding the second half of your cycle?

[cpgal]

I used to have normal cycles - all my life. Several years ago that changed and I would get light bleeding starting at 7 to 10 dpo that would last a day or two stop and might repeat (bleed/spot a day or two and stop). Then my period would come. I have short LP as well. I ovulate like clockwork and I seem to respond VERY well to clomid.

All of my hormone levels were very excellent considering I am 36 - in fact they look great. I have had HSG and saline sonogram and they turned out well. I have been tested at 7 dpo for progesterone and the levels were normal and showed I ovulated.

The only issue that was found was an underactive thyroid so I was put on lose dose levoxthyreine (25 mcg). After a few weeks on that I had two cycles with no bleeding (and for some reason I could sleep the night through - for most of my life I just "wake up" throughout the night, that stopped). Then after two months I started waking up again. I didn't think much of it. That cycle the bleeding started again but they thought it was a clomid cyst.

I asked for the thyroid to be rechecked due to the waking up thing and even said they probably think that I am crazy. Then this cycle too also had the bleeding thing. I got a call that they needed to up my dosage of the thyroid medication because my numbers went up.

So my question, has ANYONE experienced this or had this happen to them? Was the cause determined? Were you fixed? Could your thyroid being off a little do this? I have read that too low can cause bleeding throughout a cycle but only scientific studies and the doctors do not seem to be that knowledgeable.

[cpgal]

Different Manifestations of Thyroid Problems in Women

Posted by premabs on Wed, 23 Sep 2009

Comments (0) No Of Views (97)



Different manifestations of thyroid problem in Women


Different manifestations of thyroid problem in ladies

Ladies are you bleeding excessively?

Here I narrate 3 different types of cases

A 20 years old girl got admission in medical college.She started living in a hostel. It was a stress situation for her. It was for the first time she was coming out of the four walls of her house. The place she started living was at high altitude . New place, new people, new environment, stress of adjusting with others, and studying all demanded a lot on her stress hormones .
She started having irregular periods,more frequent periods and it bothered her a lot.She became anaemic.Gynaecologists saw her and gave her various hormone combinations[oestogen and progesterone] with no positive result.Sometimes even when she was taking these tablets regularly she will bleed , but her parents and doctors would think that she would have missed tablets.Prior to this her periods didn’t give her any problem.Her first period was at the age of 13 years. It used to come regularly everymonth with no pain , and had normal flow.
As days went she noticed a nodule developing in her thyroid gland. By that time she was already a 3rd year medical student.She reported this to her surgery professor who gave her eltroxin to take.And told her to come back for surgery if still it persisted. But to her surprise she found her periods behaving normally for years together..Later whenever it sidetracked she used to monitor her thyroid levels and get treatment


2 Another lady 35 years old came to me telling “Madam, I am having early periods and heavy also since 3 years.I have delivered normally a child who is 8 years old now.I underwent D&C and pathlology report came as proliferative endometrium I was given progesterone treatment yet I was not responding .So they have posted me for hysterectomy” Since I was in charge of the department at that time I planned her for thyroxine trial She had hypothyroid features of thin hair ,dull facies and frequent periods. But her TSH was 2.4She couldn’t afford other tests. So I started her empirically on Thyroxine sodium 25micrigram. I found her having regular monthly periods with normal flow. I found her later 2 years after coming to my house crying .
She was asked by medical fraternity to stop the tablets since TSH was 2 i.units and her periods problem restarted again She was planned once more for uterus removal .Just a few days before surgery her only son died due to accident. So she came to my house with great hope. I prayed God to help her. I assured her telling “my diagnosis for you is Hypothyroidism and once you have proved I am correct. So again I will start you on Thyroxine and after one period you can take clomiphene “ She did accoprdingly and very next cycle She was pregnant. She was cared and delivered by the same doctors who planned to remove her uterus.. This reminds me of our professors saying” obstetrics is the one field where child comes out exposing your follies right on your face”


There were 4 cases of endocervicitis ,hip pain, congestive dysmenorrhoea, premenstrual spotting, One patient underwent hysteroscopy and D&C.Small polyps were removed and pathology report came as proliferative endometrium
Even after polyp removal premenstrual spotting continued She was given a short course of thyroxine sodium her spotting stopped and without any further problem.
The other 3 had cervical cytology and endometrial sampling They were given a course of antibiotics .On follow up repeat FT3, FT4 , and TSH done showed low thyroxine values in a span of 6 months to 1 year.Thyroxine treatment solved their problem.

Thus hypothyroidism can occur due to

1 T3,T4 deficiency – decreased iodine intake or absorption
decreased hormone production
Increased binding with carrier proteins/antibodies
? decreased receptor availability
2 TSH deficiency [hypopituitorism]

3 Altered TRH response

These patients present to you with
1 normal mense4s but putting on weight,general weakness, succumb to infections frequently
2 amenorrhoea [ no periods]
3 premenstrual bleeding
4 polymenorrhoea [frequent periods]
5 oligomenorrhoea [ scanty periods]
6 menorrhagia,congestive dysmenorrhoeaheavy bleed
7 polymenorrhagia [frequent and heavy ]
8 metrorrhagia [intermenstrual periods]
9.Infertility,rec miscarriages,oron&off bleed during pregnancy

Age group can be 1 pubertal , 2 reproductive, 3 perimenopausal

Investigations

Blood haemogram BT,CT,APTT
Pelvic scan for uterus and ovaries
Cervical cytology and endometrial sampling in 2 and 3 age groups
FT3, FT4, T3,T4,TSH,Thyroperoxidase antibodies

Treatment directed at correcting infections, thyroxine level, hematinics and estrogen/progesterone if needed.

Different Manifestations of Thyroid Problems in Women | Premabs's MedBlogs | Medindia Health Network

[BC-pepper]

I was just tested for everything under the sun and came back with an elevated TSH - Their cutoff for normal is 4.something and mine was 5.something. I have been having excessive bleeding - starting sometimes within days of ovulating and then continues spotting/bleeding/spotting for 10-11 days. My cycles seem like they're right on top of each other, all the time, but are probably about 21-25 days long. I think my RE will talk to me about it later this week or at the beginning of the next. I hope taking meds solves all my problems and yours too!

[cpgal]

Your cycles sound EXACTLY like mine. Since I posted I spoke to a friend who was always regular and then started bleeding every 16 to 20 days for 10 days at a time... She got some sort of virus that attacked her thyroid and caused her to go hypo. Now that she is medicated she went back to normal.

When I first went on the levoxthyreine after a few weeks I got two normal cycles -- seems that I went blewy again and hoping now with the up'd dose it will right itself like my friend's did.