T4 to stop mid-cycle bleeding?

August 23, 2010

I believe I've been optimized on 68.75mg Cynomel for several months now. I'm in

the process of weaning off HC/Florinef and feel the best I've felt in YEARS.

I've also been supplementing progesterone for about 8 months due to low levels

causing a luteal phase defect. But all of a sudden starting two cycles ago, I

start spotting 2-3 days after ovulation and the only thing that stops it is

Prometrium (prescription progesterone) that I use vaginally. The progesterone

cream that I use all cycle long does nothing to stop the spotting.

Before I was diagnosed with hypothyroidism and started on meds, I bled every two

weeks when not on birth control. This started at age 15 and never went away. I

also discovered at that time I was not ovulating. As soon as thyroid meds were

started (Levoxyl at the time), I began ovulating and the mid-cycle bleeding went

away.

I believe I am still ovulating, as I still get positive ovulation predictor

strips and my daily average temps still rise after that time. But my basal temps

don't go nearly as high after ovulation as they used to (this began 4 cycles

ago) and no longer show a clear shift.

SO. My doctor has suggested that we add some T4 medication back into my regimen

to see if that fixes the issue. If I weren't trying to get pregnant, I'd

probably just ignore the issue and go along my merry way since I'm feeling so

well. But I am trying...so I need to fix this.

He's offered to let me choose between adding Levoxyl to my Cynomel or switching

to Nature-throid. If Levoxyl, he wants me to start with 25mg and work up to 50mg

(not sure how much T3 he wants me to stay on). If Nature-throid, he's written me

a script for 65mg and has made no mention of raising that dose. My question

is...what would you do in my shoes? For some reason, I'm leaning towards the

Levoxyl just so that I can stay on some Cynomel, since that's what I'm used to.

Or is that a dumb idea?

I'm just SO worried that this is going to set me back

~Rainbow~

30 year old Female 5'6 " 140lbs

Dx: Hashi's, AF, Wheat Sensitivity

Rx/OTC: Cynomel 68.75mcg, HC 12.5mg, Florinef 1/2tab,

Potassium 90mEq, Sea Salt 3/4tsp

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