Does Hyperthyroidism Affect Menstrual Irregularities? - Obstetrics and Gynecology

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Can thyroid dysfunction cause irregular menstrual periods?


Hello, I would like to ask if hyperthyroid patients experience irregular menstrual cycles? My menstrual cycle is typically 28 days, but I am now over five days late.
I have had safe sexual intercourse, and I took a pregnancy test today which was negative.
Should I see a gynecologist?

Xiao Wen, 20~29 year old female. Ask Date: 2004/04/08

Dr. Zhan Deqin reply Obstetrics and Gynecology


Any form of thyroid secretion abnormality can affect menstruation, so it is advisable to seek medical attention for safety.

Reply Date: 2004/04/08

More Info


Hyperthyroidism can indeed affect menstrual cycles, leading to irregularities. In women, the thyroid hormones play a crucial role in regulating the menstrual cycle. When there is an excess of thyroid hormones, as seen in hyperthyroidism, it can lead to various changes in the menstrual cycle, including lighter periods, shorter cycles, or even missed periods altogether.

The thyroid gland produces hormones that influence many bodily functions, including metabolism, energy levels, and the menstrual cycle. In hyperthyroidism, the overproduction of thyroid hormones can disrupt the normal hormonal balance in the body. This disruption can lead to anovulation (the absence of ovulation), which can result in missed periods or irregular cycles. Additionally, hyperthyroidism can also cause symptoms such as weight loss, increased heart rate, and anxiety, which may further complicate the menstrual cycle.

In your case, you mentioned that your menstrual cycle is typically 28 days but that you have missed your period for over five days. Since you have also taken a pregnancy test that returned negative, it is advisable to consider other factors that could be affecting your cycle. Stress, changes in weight, and underlying health conditions, including thyroid disorders, can all contribute to menstrual irregularities.

If you suspect that your hyperthyroidism may be affecting your menstrual cycle, it would be prudent to consult with a healthcare provider, such as an endocrinologist or a gynecologist. They can perform a thorough evaluation, which may include blood tests to check your thyroid hormone levels, as well as other hormonal assessments. This will help determine if your hyperthyroidism is indeed the cause of your menstrual irregularities or if there are other underlying issues that need to be addressed.

In summary, hyperthyroidism can lead to menstrual irregularities, and it is essential to monitor your symptoms closely. Given that you have missed your period and have concerns about your menstrual health, seeking medical advice is a wise decision. Your healthcare provider can help you understand the relationship between your thyroid condition and your menstrual cycle, and they can provide appropriate treatment options to help manage both your thyroid health and menstrual regularity.

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