I believe light to non-existent periods are one of the symptoms of graves (forgot the medical term ATM) when I was first diagnosed my period was very light and lasted about 2 days compared to my normal cycle of 5 days, also one of many signs I knew something was wrong with me. Since I've been on meds (tapazole) and my levels stabilized, my period has returned to normal. Are you on any medication?
Yes, i am taking medicine from last 2 year since i was diagnosed. More than 1.5 years, i was on methimazole. Currently i am taking PTU. Even when my level got normal, i did not have normal period. I had a normal period of 4-5 days before graves. I don't know what is wrong with me.
Do you think level should be stablized for long period of time to get normal period.
I had a high prolactin level before I was menopausal and docs did not know why. It normalized when I got into menopause. There is no known one test for PCOS but several factors would indicate it. A physical exam will include checking for signs of excess hair growth, insulin resistance and acne. Your blood may be analyzed to measure hormone levels. This testing can exclude possible causes of menstrual abnormalities or androgen excess that mimics PCOS. You might have additional blood testing to measure glucose tolerance and fasting cholesterol and triglyceride levels. I would think scanty periods would certainly be hormonally- related. Also depending on your thyroid values when you were diagnosed with Graves, you may have some deficiencies from your metabolism running so high. I was deficient in Carnitine, vitamin D and Magnesium.
Your TSH has risen slightly and that's what Acetyl will do. You have to take it at the same time as your medication in order for it to work on the TSH. It usually drops both your T4 and T3 but in your case it only dropped the T4. As long as they stay at the bottom of the range it is okay but if they drop out of range, stop the Acetyl immediately. I read an article recently by an Endocrinologist that Vitamin D was an extremely important vitamin for proper thyroid functioning. A lady was hypo and had a low vitamin D level and he said having a not good vitamin D level would affect T4 to T3 conversion which is what you appear to have. He said most people do not get enough vitamin D and if supplementing, they should take 1,000 to 4,000 IU per day. So if I were you, I would ask for your vitamin D level to be checked. I wouldn't worry too much about the prolactin level. Mine was out of range high. I think you have this because of hormone imbalances. I know I was estrogen-dominant at the time. Also, try to avoid stress if you can while you are trying to balance your thyroid hormones.
I am sorry, I really don't have an answer to your question. I took all my meds once a day all together at the same time and not always at the same time of day. I didn't usually take it on an empty stomach because I am rushing around first thing in the morning. You could ask the pharmacist about taking Methimazole on an empty stomach and at a Natural Health store that sells Acetyl-L-Carnitine those questions. I just know that to get the TSH to rise, I had to take Methimazole at the same time as Acetyl-L-Carnitine. I don't know if the discrepancy in your T4 (low) and T3 (high) was caused by your taking Acetyl-L-Carnitine at different times of day than your antithyroid drug but to me that indicates that your T4 is converting to T3 very quickly. Again I don't know if Acetyl had any part in that. When I was taking Acetyl, both my T4 and T3 were at the bottom of the range as my TSH rose.