Hello Doctor, I am 30 years old and recently had thyroid tests done, which showed TT3: 114, TT4: 9, and TSH: 33. I have not had my periods yet, my last period was in July, and a urine pregnancy test in August was negative. What should I do next?

Answered by 1 Apollo Doctors

Dr Yusuf Mohammad

General Practitioner

MBBS
Advanced Certificate Course in Dermatology
8+ Yrs

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Your TSH level of 33 is very high, indicating severe hypothyroidism, which can cause delayed or absent periods. Your TT3 and TT4 are in the lower range, supporting this. It is important to consult your doctor to start thyroid medication (thyroxine) as soon as possible to help regulate your thyroid levels and menstrual cycle. You do not need to repeat a pregnancy test unless there is a new exposure risk. Repeat your thyroid profile after 6 to 8 weeks once on treatment to monitor improvement.

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Answered 08/09/2025

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