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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Birth Control Pills For Hypothyroid Patients

Hello Doctor... I'm hypothyroid patient for last 5 years, and taking 50 mg eltroxin daily. I'm getting married next month 29-11-11 , as of now i'm in 2nd day of my periods ( My first day of period = 5 nov). I just started taking Krimson 35 suggested by my doc. The whole day I was feeling to vomit and nausea... I cant bear this feeling. what should I do? is there any other birth control pill for hypothyroid patient???
Thu, 31 May 2018
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Endocrinologist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

Krimson 35 Tablet is an oral contraception used for preventing pregnancy, hormonal replacement therapy, prostate cancer and postmenopausal osteoporosis. It has Ethinyl Estradiol, Cyproterone which helps in maintaining the normal estrogen level in the body. Nausea and vomiting is the most common side effect of Krimson 35 and of all the other birth control pills. There is no specific treatment for nausea caused by the pill. However, you may find relief from mild bouts of nausea with these home remedies:

-Consume only light, plain foods, such as bread and crackers.
-Avoid any foods that have strong flavors, are very sweet, or are greasy or fried.
-Drink cold liquids.
-Avoid any activity after eating.
-Drink a cup of ginger tea.
-Eat smaller, more frequent meals.

About your hypothyroidism, I want to say that Eltroxin or Levothyroxine doesn't directly interact with birth control pills, but estrogen containing in most of birth control pills, can affect thyroid levels which could possibly necessitate an alteration on your levothyroxine dose. For this reason, i suggest to consult your treating doctor because you may need to adjust the dosage of your Eltroxin in order to have normal TSH result while you're on contraceptive pills.

Hope I have answered your query. Let me know if I can assist you further.
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Endocrinologist Dr. Elona's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

There are not specific birth control pills for hypothyroid patients. The pill is the same and Krimson 35 is not a bad choice.

Nausea and vomiting is the most common side effect of all birth control pills and there is no specific treatment for this side effect.

However, you may find relief from mild bouts of nausea with these simple tips:
-Eat smaller, more frequent meals.
-Consume only light, plain foods.
-Avoid any foods that are very sweet, or are greasy or fried.
-Drink cold liquids.
-Avoid any activity after eating.
-Drink ginger tea.

Second think that I want to underline is the Levothyroxine (Eltroxin) doses. Estrogen containing in most of birth control pills (even in your pill), can affect thyroid levels which could possibly necessitate an alteration on your Levothyroxine dose.

For this reason, I suggest to consult your treating doctor because you may need to adjust the dosage of your Eltroxin in order to have normal TSH result while you're on contraceptive pills.

Hope I have answered your query.

Let me know if I can assist you further.

Regards
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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.
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Suggest Birth Control Pills For Hypothyroid Patients

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Krimson 35 Tablet is an oral contraception used for preventing pregnancy, hormonal replacement therapy, prostate cancer and postmenopausal osteoporosis. It has Ethinyl Estradiol, Cyproterone which helps in maintaining the normal estrogen level in the body. Nausea and vomiting is the most common side effect of Krimson 35 and of all the other birth control pills. There is no specific treatment for nausea caused by the pill. However, you may find relief from mild bouts of nausea with these home remedies: -Consume only light, plain foods, such as bread and crackers. -Avoid any foods that have strong flavors, are very sweet, or are greasy or fried. -Drink cold liquids. -Avoid any activity after eating. -Drink a cup of ginger tea. -Eat smaller, more frequent meals. About your hypothyroidism, I want to say that Eltroxin or Levothyroxine doesn t directly interact with birth control pills, but estrogen containing in most of birth control pills, can affect thyroid levels which could possibly necessitate an alteration on your levothyroxine dose. For this reason, i suggest to consult your treating doctor because you may need to adjust the dosage of your Eltroxin in order to have normal TSH result while you re on contraceptive pills. Hope I have answered your query. Let me know if I can assist you further.