What Do Fluctuating TSH Levels Indicate Despite Being On Femillion?

Posted on Mon, 12 Feb 2018

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 12 Feb 2018 Answered on

Mon, 10 Sep 2018 Last reviewed on

Question : Hi .. I was having thyroid problem detected in August , I was put on 25mcg Tsh was 6
Later in September I was put on femilion for 3 cycles to regulate my periods.
Last Dec the reading came TSH .9
Then in XXXXXXX 17 it was .02
And then my doctor reduced medication to 12.5mcg
Now I got it tested after 24 days tSH reading was 6.5
And I again got it tested the very next day the reading was 11.5
What is the cause

Answered by Dr. Minal Mohit (-2 hours later)

Brief Answer:

Lab variation can be one reason.

Detailed Answer:

Hi,

Yours is a case of subclinical hypothyroidism.

Before starting the treatment please check your anti TPO values.

Now to explain you TSH 6 is a borderline value, due to femilon it went to .9 or .02 or whatever fluctuations.

and variations in 24 days from 6 to 11 is more of lab dependent.

So first thing is confirm whether you need treatment or not.

Also tell me if any other concerns are there.

Why femilon was required? How long did you take? how are periods now?

Hope I have answered your query. Let me know if I can assist you further.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Minal Mohit (48 minutes later)

Thanks you doctor...
Due to thyroid being 6 in August my bleeding was not stopping so I was put in regestrone then around 29 sep tsh was 2.8 after taking thyronorm for 5 weeks then my gyanae asked me to be on femilion for 3 months so that regulation of periods happens
Then on 27 Nov Tsh was 2.4 , I was taking femilion and date bleeding was XXXXXXX
Then 30 Dec Tsh was 0.9 , I was taking femilion and bleeding was normal
Last dosage of femilion was on 6th XXXXXXX
Then bleeding happened normal
After that on 17th I took TSH test value was 0.02
Then date was suppose to happen last week it still hasn't come and
TSH test on 10 Feb - 6.5 reading
TSh test on 11 Feb ( from different lab)- 11.2
And periods due for this month have not come

Answered by Dr. Minal Mohit (9 minutes later)

Brief Answer:

Age? Married? Children? Weight?

Detailed Answer:

Hi,

Can I know these details as well please!

Hope I have answered your query. Let me know if I can assist you further.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Minal Mohit (12 minutes later)

My age is 31 married planning for kid
Weight is 85 and height is 5'4...I am loosing inches but not too much effect on weight but since Oct I am on weight management.

Answered by Dr. Minal Mohit (21 hours later)

Brief Answer:

Weight generated problems.

Detailed Answer:

Hi,

Looking at these figures, it seems your thyroid and irregular periods are more of weight generated issues.

You must cut down weight. To help you losing weight and regulating periods without affecting fertility, you may start with , Metformin three times a day.

All before major meals, breakfast, lunch and dinner.

Please check your anti TPO and let me know.

Hope I have answered your query. Let me know if I can assist you further.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Minal Mohit (23 minutes later)

Doctor... What does anti TPO test help to determine... Whether I need thyroid medication or not??

Answered by Dr. Minal Mohit (9 hours later)

Brief Answer:

Autoimmune profile.

Detailed Answer:

Hi,

Yes, it will make decisions easy.

Hope I have answered your query.

Regards,
Dr. Minal Mohit, Endocrinologist

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar