Emergency contraception uses hormones that frequently cause temporary irregularities, like early spotting followed by a delayed period. Additionally, your thyroid levels, which you manage with Thyronorm (levothyroxine), play a key role in your menstrual cycle and can influence these patterns. First, taking a home pregnancy test is a helpful step to rule out pregnancy. If it is negative, your cycle should normalize soon. Please consult a gynecologist if your period is delayed by more than a week, if you experience severe pain, or if irregularities persist for more than two cycles.

A negative Anti-TPO test is reassuring news, as it suggests your thyroid issue is likely not caused by an autoimmune condition. However, your rising TSH (from 5.54 to 6.68) indicates your thyroid is still struggling a bit, even on a low dose of Thyronorm (levothyroxine). Stopping your medication can cause your TSH to rise further over time, even if you feel well right now. I gently encourage you to discuss these results with your doctor to safely plan the next steps for your health.

Since your TSH levels are already low on 175 mcg of Thyronorm (levothyroxine), increasing your dose is not safe and could cause harmful side effects like heart palpitations. Sometimes, a low TSH means your body is already at its limit for thyroid hormone. I gently suggest discussing this with your doctor to check your free T3 and T4 levels, and perhaps explore other metabolic or hormonal factors that might be slowing your progress.

Since you manage depression and take Thyronorm, the safest approach is combination counseling and nicotine replacement therapy, like patches or lozenges. Some prescription options like generic bupropion can help both depression and quitting, but require a doctor's evaluation. Quitting smoking can sometimes affect thyroid medication absorption, so your doctor should monitor your thyroid levels. Together, you can create a gentle plan that supports your mood, manages weight, and addresses hair loss.

I understand how frustrating it is to feel short of breath during activities you love. Because your symptoms have developed gradually, we want to look at a few common areas. Given your family history, we should evaluate your heart using an electrocardiogram (ECG) and an echocardiogram. Your lungs can be checked with simple breathing tests, and a routine blood test can ensure your thyroid medication is at the right dose and check for anemia. Your past surgery is also helpful context for your doctor. I recommend scheduling an appointment with your primary care physician to begin these standard, reassuring evaluations.

Managing weight with PCOS and mild hypothyroidism can feel challenging, but you can absolutely achieve your 10 kg goal! Your current medications, Krimsom 35 (cyproterone with ethinylestradiol) and Thyronorm 25 (levothyroxine), are wonderful tools already helping to balance your hormones. To support them, focus on a low-glycemic, high-fiber diet rich in lean proteins to help manage insulin resistance. Incorporating a mix of strength training and gentle cardio, like brisk walking, will boost your metabolism. Consistent sleep and managing stress are also key to hormonal health.