Is there high thyroid-stimulating hormone before and after menstruation?

Patient's question:

I got married last year. Recently, I've been experiencing lower abdominal pain, especially during my period. I'm very worried it might affect fertility, and I'm also extremely sensitive to cold and coldness. Is it normal for thyroid-stimulating hormone (TSH) levels to be high before and during menstruation?

Doctor's answer:

Hello, during menstruation, it is important to rest and ensure adequate nutrition. Pay attention to keeping warm, especially the perineum. Avoid spicy and irritating foods, and refrain from smoking and alcohol. Try to minimize exercise to prevent an increase in menstrual flow. Maintaining sufficient sleep is beneficial for cycle recovery.
First, you should go to the hospital for an ultrasound to check the size of your fetus. Then, consider whether you want to have a natural birth or a cesarean section. If the fetus is large and you choose to have a natural birth, pay attention to eating less staple foods and more vegetables and fruits. Take appropriate walks but avoid going too far.
If you choose a cesarean section, you can eat whatever you like. Currently, your diet should mainly focus on fiber and vitamins.

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