How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask DrRussMD Your Own Question
DrRussMD, Board Certified MD
Category: Medical
Satisfied Customers: 65671
Experience:  Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
Type Your Medical Question Here...
DrRussMD is online now

Had an abnormal bleed one week after my and also have

This answer was rated:

Had an abnormal bleed one week after my period and also have some lower back pain. The bleeding felt very sudden and was quite a flood. Trying for a baby but not pregnant, periods normally fine 28-30 day cycles...have got an appointment to see my doctor in a week but feeling anxious...
Any other medical problems here?
Customer: replied 4 years ago.

No im in good health generally. Have taken thyroxine for the last fifteen years following surgery.

Most commonly this id due to hormonal reasons, including the thyroid being off, so you need a TSH to se where you are there. optimal is between .8 and 1 but the "normal" range is much wider. If you are at 3, you are really hypothyroid. Under .5, then hyper.

If you are not up to date on pelvic exam this needs to be done, and an ultrasound should be considered as indicated.

Uterine problems like fibroids and ovarian problems can cause this.

Let me know if you have more questions; use reply to expert.
Please do not forget a positive rating.
Customer: replied 4 years ago.

Thanks for your help. I have struggled to get a full review on my thyroid as im told i fall into the normal range and dont warrant a referral to an endocrinologist - i have specifically asked in relation to trying for a baby, and as im in the uk, my gp has to make the referral.

I understand.
What is your additional question?
Customer: replied 4 years ago.

Thanks..i think my question was what tests or referrals would you expect would be reasonable for a doctor to make at this point? I appreciate that would be determined in a consultation but perhaps my fear is of not being taken seriously by my gp and wanting to know what would be reasonable to expect? Also is there a difference between thyroid ranges in uk and us? Many thanks

Pelvic exam
Ultrasound of the pelvis.
Thyroid testing

Sex hormone panel.
AM cortisol level.
Routine labs.

Endocrinology if needed.

Let me know if you have more questions; use reply to expert.
Please do not forget a positive rating.
DrRussMD and 2 other Medical Specialists are ready to help you