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थाइरोइड में पीरियड (मासिक धर्म) ऐसे बिगड़ते हैं – Dr. Tanvi Mayur Patel
Irregularities of periods due to Thyroid imbalance by thyroid expert endocrinologist doctor.
0:00 Introduction
0:40 Prevalence and incidence of thyroid imbalance
1:15 Normal period
2:58 How to calculate cycle length
3:34 Hormones responsible for normal period
5:24 What is the function of Thyroid hormone
6:25 Phases of life when thyroid imbalance happen in women
8:52 Hormone imbalance pathway and pathophysiology during hypothyroidism
14:53 Insulin resistance and Hyperinsulinemia
15:28 PCOS and Thyroid imbalance
16:40 Period changes
17:28 Reason for heavy flow
18:21 Test and treatment for hypothyroidism
19:50 Hyperthyroidism
20:50 scanty flow
21:13 Test and treatment for hyperthyroidism
22:10 other causes of period imbalance and testing for them ( ultrasound pelvis )
23:31 write in comment box
Thyroid imbalance is most common endocrine health problem.
12% of people will suffer from abnormal thyroid function sometime in their lifetime.
Women are 8 times more likely to have thyroid issues than men.
Most common symptom of thyroid imbalance in women is irregularities in periods.
28 days is ideal period length. it can vary from 21 to 35 days.
overweight and obese women have longer cycle with reduced flow.
smoking can disturb cycle length.
18- 29 years have longer cycle. after 30 years of age cycle length regularises and cycle variability reduces.
How to calculate cycle length is calculated from day 1 to day 1 of consecutive period.
Hormones responsible for normal period : FSH ( Follicle Stimulating hormone ) and LH ( luteinizing hormone ), Estrogen, Progesterone, Thyroid, Prolactin, Insulin and Androgen.
Normal period is indirect indication of good endocrine health, reproductive health
During Puberty, Pregnancy, post partum and post menopause phase thyroid imbalance can happen in women.
Hypothyroidism is more common than hyperthyroidism.
period irregularities is more common in severe hypothyroidism than mild hypothyroidism.
Many times thyroid imbalance does not cause period irregularities.
sudden period irregularities can indicate thyroid imbalance.
Hypothyroidism pathophysiology :
Reduced function of thyroid gland causes decreased amount of T3 and T4. this causes activation of Negative pathway and caused increased TRH from hypothalamus and TSH from pituitary.
Due to high TRH, prolactin level also increases. increase prolactin causes reduction of FSH ( Follicle Stimulating hormone )and LH ( luteinizing hormone ). FSH cause egg and ovum maturation. LH causes ovulation. Reduction of LH causes immature follicles, unable to conceive, anovulatory cycle. Endometrium lining causes infrequent bleeding and spotting and clots.
thyroid imbalance causes disturbance of insulin action and causes hyperinsulinemia and causes Insulin resistance . PCOS is caused by insulin resistance. 30 – 40 % women with thyroid imbalance have PCOS. vice versa PCOS women have thyroid imbalance. PCOS and thyroid imbalance also causes weight gain.
irregular period, Anovulatory cycle, Absent period ( amenorrhoea ), Heavy flow.
Decreased coagulation protein causes heavy flow and leading to anaemia. Hypothyroidism is detected by doing blood test. treatment consist of levothyroxine.
Hyperthyroidism causes increased t3 and t4. this caused reduced SHBG levels. this causes irregular and anovulatory periods and amenorrhoea and scanty flow ( due to increased coagulation protein ).
Hyperthyroidism is treated with Anti thyroid drugs and Radioactive iodine therapy.
other causes of period imbalance are extensive exercise, dieting and calorie restriction, anaemia, prolactin disturbances, PCOS, uterine fibroid.
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THYROID QUESTION ANSWER SERIES IN HINDI
PROLACTIN HORMONE SERIES IN HINDI
THYROID QUESTION AND ANSWER SERIES IN ENGLISH
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Please Note :
This video is for Educational purpose only. We strongly recommend to consult your Doctor/ Physician before taking any medication/Supplementation .
All Contents by Speech & Video by : Dr. Tanvi Mayur Patel
Video Editing, Uploading by : Vimal Vanani, Surat
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