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What Do My Blood Test Reports Indicate?

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Posted on Fri, 18 Mar 2016
Question: Is it possible to have a thyroid condition even though the thyroid test results are normal? I am trying to understand why I have had some symptoms and possible causes. Symptoms include: Recent (past 5 Months) very heavy menstrual cycles (requiring more than a pad and/tapon) large clotting (larger than a quarter). I get severe anxiety starting approximately one week prior to the start of my menstrual cycle, which can be very crippling. During my menstrual cycle, I get very weak and feel almost anemic. I am trying to understand my hormones and how they might be affecting my body as I will go through spurts of fatigue and then periods of anxiety. I would be happy to share previous Thyroid tests.
doctor
Answered by Dr. Binu Parameswaran Pillai (3 hours later)
Brief Answer:
Could you attach thyroid blood reports

Detailed Answer:
Good day,
Noted your concern.
Agree that, hypothyroidism often can cause heavy periods. You did mention that thyroid blood tests were normal. Could you please attach the blood report? I would like to know if you ever had a thyroid antibody test ( Anti TPO).

How regular are your periods? Do you take any other medicines ( blood pressure, diabetes, anti depressants ). Any history of constipation? . What is Your height and weight? Have you had a gynecology check up ? Any nipple discharge ?

I must also say that, heavy periods and anxiety etc are not exclusive of thyroid dysfunction. It can also happen in depression itself.
As the thyroid blood tests are normal, and since most of your symptoms occur around the period of menstural periods, it may be a good thought to use a depot hormonal preperation once every 3 months( Depo Provera).

regards
Binu
.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Binu Parameswaran Pillai (20 hours later)
Good afternoon,

I haven't had a recent Thyroid test done. I have multiple sclerosis and currently take amitryptiline for sleep, a low dose at 25 mg. I have been on this medication for 7 years. I have previously been on Depo Provera shot in the past, and it caused many side effects. My Thyroid test from 2011 - 2014 are posted below. I have many symptoms that will come and go, that are not related to my MS. For example, I will have moments of feeling extremely "cold" and cold extremities (needing a hot bath to relieve), extreme fatigue, and constipation. Then this can switch to very anxious, hot flashes (so much that I need to go outside in the freezing weather to cool down), hand tremors, heart palpitations.
My eyes remain very dry or "red" and I will have muscle weakness/pain.

I understand that some of these symptoms may be related to MS.

Please let me know your thoughts. Thank you!

Thyrozine, Free (FT4)     1.06 on 5/12 and     1 on 6/26/14
TSH          0.71 on 1/24/11 and 1.42 of 5/2012 and 1.102 on 6/26/14
doctor
Answered by Dr. Binu Parameswaran Pillai (18 hours later)
Brief Answer:
Autonomic dysfunction

Detailed Answer:
Hello,
Thank you for the reply. I can see that your thyroid blood profile are norml on multiple occasions and hence i beleive thyroid dysfunction is not responsible for your symptoms. I am sorry to hear about your symptoms. I suspect that you may have "autonomic dysfnction" associated with multiple sclerosis and that may be causing these symptoms. It is a good idea to discuss this with your neurologist. It is also good to get a fasting "FSH" blood test on the third day of your periods just to rule out ensuing perimenopausal state as a cause of these hot flushes.
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Binu Parameswaran Pillai

Endocrinologist

Practicing since :2003

Answered : 1439 Questions

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What Do My Blood Test Reports Indicate?

Brief Answer: Could you attach thyroid blood reports Detailed Answer: Good day, Noted your concern. Agree that, hypothyroidism often can cause heavy periods. You did mention that thyroid blood tests were normal. Could you please attach the blood report? I would like to know if you ever had a thyroid antibody test ( Anti TPO). How regular are your periods? Do you take any other medicines ( blood pressure, diabetes, anti depressants ). Any history of constipation? . What is Your height and weight? Have you had a gynecology check up ? Any nipple discharge ? I must also say that, heavy periods and anxiety etc are not exclusive of thyroid dysfunction. It can also happen in depression itself. As the thyroid blood tests are normal, and since most of your symptoms occur around the period of menstural periods, it may be a good thought to use a depot hormonal preperation once every 3 months( Depo Provera). regards Binu .