Question 1

I am 32 years old, married, and have hypothyroidism. I take 50 mcg of medication every day. Over the last few months, I have noticed that my periods end on the second day, with no flow on the third day and only light spotting on the fourth day. The flow is very light, I could manage with one pad for the whole day, though I usually do not. My periods are regular and always on time. My recent thyroid test results are:
TSH: 5.55
T3: 1.06
T4: 6.30
Is this normal?

Question 2

My prospective partner, age 41, says he has hypothyroidism and will be taking medicine lifelong. He is currently on Thyronorm 25 mg. He says it is genetic with half his family having the condition. A test report shows T3 and T4 within range, but TSH was 5.62 with a normal range of 0.35 to 5.5. The latest report from January shows T3 110 ng/dl, T4 9.2 g/dl, and TSH 3.68 IU/ml, all within normal range. The comments suggest that Thyronorm should be continued. Since the report shows that TSH was only slightly out of range subclinically, why does he have to take medicine all his life? Could it be that he has not shared all the reports and is sharing only those that show near normal results? At what levels of TSH is the condition called hypothyroidism and Thyronorm prescribed for life?

Question 3

During pregnancy, thyroid was detected. I was taking 25 mg tablets as prescribed by my gynecologist during pregnancy. Now my son is 2 years old, and a blood test was done 3 days ago. The test was Free TSH, Free T3, and Free T4. T3 and T4 are within range, but TSH is raised to 7.25. What should I do? The blood report is attached here. Please guide.

I recently had my anti TPO thyroid test done, and the levels are significantly higher than the normal range. I have been taking 50 mcg Thyronorm for my TSH levels for the past 2 years. Additionally, I developed urticaria (skin reaction) 5 months ago, which is still ongoing.

A high Anti TPO means you likely have autoimmune thyroiditis (Hashimotos). Its not dangerous if TSH is controlled with Thyronorm. But it may also trigger skin issues like urticaria in some cases. Continue 50 mcg dose unless your TSH shifts.

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