instruction: hi my mother is 48 years old she experienced irregular spotting and missed periods last month consulted a doctor and got blood tests sonography done sonography was normal but her ash was high around 17 and she is suffering from hypothyearoidism the doctor prescribed eltroxin 50mg tablets and she has been bleeding in low to medium period flow since weeks the doctors are not available due to couid 19 please advise
output: hello could you share the scan report if it is possible for you thyearoid abnormalities do cause some bleeding irregularities and also you mom is in the perimenopausal age group where anovulatory cycles are common which can lead to irregular periods as she has been bleeding for the past weeks and is not stopping it would be better she starts of with the hormonal medications to control the bleeding right away I have mentioned the same below also some supplements to improve her hemoglobin which she would have lost in the bleeding would be helpful ultrasound done recently says normal ash 17 started on eltroxin 50mcg already tablet livogen daily once after food for a month iron supplements tab tragic of or pause of thrice daily after food during heavy menstrual flow can stop if flow is normal continue eltroxin 50mcg daily once empty stomach after brushing teeth tablet primolut 10mg 5mg 2tablets thrice daily till bleeding stops followed by dose reduction to tablet primolut 10mg 5mg 2tablets 0 twice daily for days followed by dose reduction to tablet primolut 10mg 5mg 2tablets 2 once daily for next 14days then complelety stop it she will get her periods after stopping avoid missing the pills in between that may lead to irregular bleeding again other brand to consider sysron regesterone weight reduction regular exercises diet modifications avoid goitrogenic foods like cabbage cauliflower broccoli radish soya products etc to upload the reports on app prior to next consultation if bleeding keeps persisting may need endometrial evaluation