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Diet and medication for hypothyroidismand anemia, infertility - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Thyroid Problem and Hormonal Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1714 Questions
Doctor :   hi
Doctor :   how can i help u
User :   hello
User :   I wanted to check with you about a problem of thinning hair
Doctor :ok
User :   is there anything I can do to prevent it?
Doctor :   proceed
User :   my problem is that my hair is becoming very thin in last few months and losing its shine also
User :   Are you still on-line?
Doctor :   are yu back
User :   yes, I am back
Doctor :   i am Dr AAAAAAA here
User :   Hello Dr AAAAAAA
Doctor :   yes
User :   As I was saying, my problem is that my hair is becoming very thin in last few months and losing its shine
Doctor :   please proceed further
User :   I want to check if this is a medical condition and should I take some treatment
Doctor :   do yu have dandruff
User :   yes, small amount
Doctor :   or any white powdery type in the hair
User :   I shampoo my hair everyday since my hair is oily
Doctor :   on scrathing
Doctor :   ok
User :   yes, i have some amount of dandruff/powdery residue in my scalp
Doctor :   ok
Doctor :   wat shampoo do yu use
User :   panteen anti-drandruff
Doctor :   ok
Doctor :is your hair rough and oily
User :   so it is very soft and oily
User :   i am also under medication for thyroid
Doctor :   ok
Doctor :   how much mg do yu take
Doctor :   for how long are yu taking
User :   25 mg
User :   i am taking for the last 3-4 months
Doctor :   ok
Doctor :   are yu anemic or do yu have low hemoglobin levels
User :   yes, my hemoglobin is around 10 when I measured last time
Doctor :   its low
User :   ok. so you think that is the reason for my hair problem?
User :   I am also trying to conveive now. So should I take any medication?
User :   Sorry for typo, I meant conceive
Doctor :   ok
Doctor :   let me explain this to u
Doctor :   the causes are
Doctor :   1. hypothyroidism
Doctor :   2. anemia
User :   ok
Doctor :   both are the common cause of infertility
Doctor :   married life of how many years
User :   I am married for 5+ years but trying to conceive for last 1 year or so
Doctor :   ok
Doctor :   let me inform this to yu
User :   I am in touch with gynecologist for last 2 months
Doctor :   the matters that we discuss will be confidential and will not be discussed with other doctors also
User :   thank you doctor
Doctor :   so shall we proceed
User :   yes
Doctor :   how many times in a week yu have sex
User :   in the last few months we are trying to have sex atleast 5 times a week and after reseaching on web we are careful to have it during middle of cycle
Doctor :   are yu on any birth control pills before ?
User :   no, I never took any birth control pills
Doctor :   did yu use condoms at time of sex
User :   yes, previously. but not for last 1 year
Doctor :   ok
Doctor :   are yu on any medications
Doctor :   other than thyroid medications
User :   only recently I started taking thyroid medication. No other medications until I met gynecologist recetly. She has asked me to take folic acid now and this month she is starting some other harmone medication
Doctor :   yes
Doctor :   folic acid will improve the percentage of conception
User :   ok. I am taking 5 mg every day
Doctor :   it good to take folic acid
Doctor :   ok
Doctor :   was harmone profile test done
User :   she infomed me that she will trigger ovulation and we can have "timed intercourse"
Doctor :   like Fsh, Lh
User :   yes, FSH and LH levels were measured recently I am just giving you the result in a min
Doctor :   take your time no hurry
Doctor :   please mention with normal values as the different labs give different values
User :   FSH was 8.42
User :   normal range in follicular phase 1st half is expected to be 3.9 to 12.0
Doctor :   thats good
User :   LH was 3.15. Normal range in follicular phase 1st half is supposed to be 1.5 to 8
Doctor :   ok
Doctor :   so as per your reports
Doctor :   the ovaries are functioning well
Doctor :   but they need a trigger
User :   ok..thats good to know
Doctor :   to stimulate to release the egg or ovum from them
Doctor :   did the ultrasound scan reveal any thing abnormal
Doctor :   endometrial thickness increased or any cyst in the ovary
User :   No, it is normal study only.
Doctor :   ok
Doctor :   did your husband get the sperm analysis done
User :   yes, his study was normal
Doctor :   ok
Doctor :   is your sugar levels normal
User :   yes, sugar is normal, but my BP was slighly low when I measure last time. only around 100
Doctor :   wats your height and weight
Doctor :   ok
User :   My height is 150 cm and weight around 50 kg. I am also used to heavy gym work-out on many days. Is that OK while trying to conceive
Doctor :   ok
Doctor :   wat exercises do yu do in gym
User :   i do runnning at around 10kmph, elliptical trainer for about half hour; Then I do weights focussed on both lower and upper body for about 1 hour
Doctor :   ok
User :   In that 1 hour along with weights I also do abdominal exercices
Doctor :   but no need to do these vigorous exercise at the time of conception
User :   oh...ok
Doctor :   light exercises are good enough to avoid the strain on uterus
User :   should I completely avoid or avoid anything specific
Doctor :   like a brisk walk or jogging is fine
User :   ok... i got it
Doctor :   are your cycles regular
User :   yes, once every 32-33 days
Doctor :   ok
Doctor :   is the bleeding heavy
User :   yes, it is heavy. slighly better after thyroid medication.
Doctor :   now you know the cause for infertility
Doctor :   so regular medications will help yu a lot
User :   thank u doctor. should I take iron or some medication for anemia?
Doctor :   mainly take thyroid supplementation early morining
User :   ok
Doctor :   yes yu need medications for anemia
User :   ok... I will ask a general pratitioner about my anemia
Doctor :   its better to go for tablets containing both iron and folic acid
User :   ok... thank you doctor
Doctor :   take OROFER XT
User :   Any specific dosage size?
Doctor :   it contains both iron and folic acid
User :   ok..
Doctor :   ovulation occurs by 14 day
Doctor :   so stimulation will be done on 9- 12 th day
User :   ok.
Doctor :   so large sized ova or egg release is identified by serial ultrasound
Doctor :   and the doctor will ask yu to have sex at that time
User :   ok
Doctor :   now its the diet thats more important
Doctor :   for you to overcome anemia
Doctor :   are yu a veg or mixed
User :   I am a veg
Doctor :   ok
Doctor :   diet rich in iron is required
Doctor :   mainly green leafy vegetables
User :   ok
Doctor :   like palak, pudina, spinach, and others
Doctor :   fresh fruits like apple, mango, chikoo, gauva, is very good
Doctor :   do yu have egg
User :   no.. i dont take egg
Doctor :   strictly saying
Doctor :   yu need to take egg
Doctor :   and fish
Doctor :   atleast egg is fine
User :   ok. it is little difficult for me to take egg/fish due to my out-look about non-veg :-)
Doctor :   ok
User :   but, i can take more greens and fruits
Doctor :   but atleast 3-4 boiled egg per week
Doctor :   ok
Doctor :   not to have fish
Doctor :   but consider egg
User :   ok :-)
Doctor :   ok
Doctor :   take more cereals
User :   Yes, i have cerelas for my break-fast
Doctor :   like wheat, millets, ragi and others
Doctor :   thats good
Doctor :   take 150 - 200 ml of milk once a day
User :   ok... now I take one tall cup of milk along with my cereal. that is all the milk I consume in a day. I think it should be around 200 ml
Doctor :   need to repeat the thyroid profile and hemoglobin levels after 3 months
Doctor :   thats fine
Doctor :   Is there any thing else i can help with you
User :   thank you doctor. I dont have any other topics to discuss now
Doctor :   ok
Doctor :   please fill the feed back form
Doctor :   and the comment box
User :   done
Doctor :   ok
Doctor :   take care
Doctor :   all the best
User :   thank you doctor. bye
Doctor :   be relaxed not to get tensed
Doctor :   you will conceive soon, all the best
User :   ok. i am mostly tense. I will try to relax some more
User :   thank you once again
Doctor :   ok
Doctor :   take care bye for now
User :   bye
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