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Follicular hyperplasia of thyroid, infertility, husband with azoospermia - 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 : 37 Questions
Doctor :   hi
Doctor :  
how can i help you?
User :   hi
User :   is it Dr. Bharath?
Doctor :  
please proceed with your health query
Doctor :  
No, I am Dr. XXXXXXXX here
User :   ok
User :   I got my FNAC done for thyroid
Doctor :  
ok
Doctor :  
Please give me a few moments while I can check on your discussion with Dr. Bharath
User :   ok
Doctor :  
I see that you suffer form Hypothyroidism
Doctor :  
and you are due for a scan on monday
User :   Microscopic Examination: Smear is composed of benign folliuclar cells. Background shows RBC. No colloid seen. No granuloma/tumour cell seen. Impression: Follicular hyperplasia
User :   yes on monday scan
Doctor :  
ok
User :   Now its Hyper: TSH: 0.05, T3: 318 and T4: 18.10
Doctor :  
yes, these are features of high thyroid activity
User :   please tell me about my FNAC
Doctor :  
your FNAC report shows Follicular hyperplasia
User :   tomarrow I am getting the thyroid profile done
User :   is it something to worry about
Doctor :  
which happen in a hyper state indicating high thyroid activity
User :   but what is follicular hyperplasia.
Doctor :  
so tomorrow when you will get the thyroid profile checked, we will come to know the correct status of thyroid functioning
User :   ok
Doctor :   i will help you to understand follicular hyperplasia
User :   ok
Doctor :  
follicular hyperplasia in thyroid indicates high activity
Doctor :  
it happens when the gland is hyperstimuletd
User :   can u tell me y
Doctor :  
which results in hyperplasia of the follicles secreting thyroid hormone
User :   coz earlier i was suffereing frm hypothyroidism
Doctor :   hyperplasia can occur due to various reasons
User :   can u tell me what are these various reasons
Doctor :   change in genetic material in one cause
Doctor :  
or when the cells are turning cancerous it can happen
Doctor :  
this can happen in two ways
Doctor :  
one-being benign, meaning not harmful to body, and not spreading
User :   so after my FNAC am i suffereing frm cancer
Doctor :  
two-malignant, in which the cancer cells are rapidly dividing and growing leading to spread
Doctor :  
no, your FNAC report shows hyperplasia, whether it is cancerours or not, it can be found out after the thyroid profile and the scan and comparing the results
Doctor :  
and your FNAC report says the follicular cells are benign too
Doctor :  
so do not worry
Doctor :  
you will be able to control it
Doctor :  
have you followed what i have said?
User :   yes dr.
User :   i m suffering frm breast cyst also
Doctor :  
so now after the scan we will be able to decide on the type of surgery you will require
Doctor :  
ok since when is the breast cyst present?
Doctor :  
was any mammogram done for you?
User :   2006
User :   yes mammography done
Doctor :   has the cyst being growing or is it the same size?
Doctor :  
what was the mammogram report and when was it done?
User :   report sys fibrocyctic disese
Doctor :  
is the pain in the brest?
Doctor :  
is the cyst present in both the breasts or only one side?
User :   yeah some times unbearable pain
Doctor :  
ok
User :   earlier it was only on right side of breat ,but now on both sides
Doctor :  
ok
Doctor :  
fibrocyctic disease of the breast is very much treatable and preventable
User :   can u tell me the prevention plz
Doctor :   prevention is by regular self breast examination
User :   at present i m having SIMROSE & EVION-500
Doctor :  
avoiding use of tight bra and dresses
Doctor :  
yes, continue to take them
Doctor :  
also the next time you go to your gynac doc
Doctor :  
ask for hormone suppliments with progesterone without estrogen
Doctor :  
it is known to help in treating them
Doctor :  
it also improves the libido and energy
User :   is it by the name of DANZOL?
Doctor :   danazol is danocrine that is prescribed to
Doctor :  
treat menstruation problems and also bresat related problem
Doctor :  
it is not a hormone pill
Doctor :  
it also leads to development of male features like hoarsness of voice, male pattern hair growth
User :   OK
Doctor :   it is used to treat infertility problems
Doctor :  
that result due to endometriosis and also heavy bleeding
User :   OK
User :   ONE MORE thing i want to ask
Doctor :   have you followed what i have said?
User :   yes dr.
Doctor :  
Please fill the feedback form while i answer your next question, and say done when done.
User :   i m suffering frm frequent headache on right side due to fast musicn noise,
Doctor :   for the fibrocystic breast disease, wear a firm bra that gives good support but make sure that it is not too tight
User :   ok
Doctor :  
and avoid excess salt and fat intake, limit the use of faaty foods and salt
Doctor :  
coming to the headache
User :   is it possible that my cyst convert into breast tumor
Doctor :  
does it happen everytime you hear a fat music or noise?
User :   yeah
User :   i never go to theatre
Doctor :  
not generally, but it should be kept under control
Doctor :  
the replacement of progesterone pills are known to make them dissappear
User :   i felt vomiting at that also
Doctor :  
ok
User :   unable to rotate my head also
Doctor :  
ok
User :   one of my docter said that it may be migrane
Doctor :  
do you feel a ringing noise or jingling noise in ears at this time?
User :   but he said it sud not be on same side headache
Doctor :   it could be migraine, as the precipitating factor is present and also you have history of nausea at that time
User :   can i go for mri
Doctor :  
migraine generally happen on one side of the head and is known to occur in one specific location each time it comes
Doctor :  
to prevent migraine attacks, take painkiller at the start of symptoms, avoid choclate, and pickles
Doctor :  
as these are known to make t worse
User :   i felt tenderness in right side of my head
User :   if by mistake i touch my head then also it starts pain
Doctor :  
MRI scan helps in finding white matter lesions in few people
Doctor :  
so getting a MRI done will be helpful
Doctor :  
make a note of all the things that make it worse or precipitate it, and avoid those factors in future
Doctor :   in severe cases of migraine, MRI can show edema in brain

User :   is it srious matter if lesions found in white matter
User :   can u tell me wat is this EDEMA?
Doctor :  
if found it could be serious, but that can be left aside till the MRI is done, as it is found only in a few cases
Doctor :  
edema is swelling/filling with water
User :   OK DR
Doctor :  
have you followed what i have said?
User :   YES DR
Doctor :  
Is there any thing else I can help you with?
User :   u r very helpful mam
Doctor :   Thanks Sushma
Doctor :  
we are there to help you 24/7
User :   u r most welcome dr.
User :   u know i m totally depressed v
User :   as i have so many disease
Doctor :  
why sushma? your diseases can be treated
Doctor :  
do not be upset
User :   but y i m suffering frm so many problems
Doctor :  
migraine and fibrocystic breast disease can be treated and prevented
Doctor :  
your thyroid status will be more clear by monday
User :   may be very soon i will gone mad or vl end my life
Doctor :  
and once done
Doctor :  
then you can opt for surgery which has good results
User :   anyways THANX A LOT
Doctor :  
sometime God tests everyone by giving suffering
Doctor :  
face this period with courage and determination
Doctor :  
continue to TRUST in HIM
Doctor :  
He never leaves his children alone
Doctor :  
you will surely overcome all these
User :   i dont know wat is written in my future
Doctor :  
remember after a night there is a DAY
User :   yes
Doctor :  
so pas these days with courage and smile and prayers
Doctor :  
things will soon be bright
User :   can i discuss my hubby's problem to u
Doctor :  
and you will see happy days ahead
Doctor :  
sure Sushma, you can discuss your husbands problems too
User :   my hubby is also suffering frm severe headache
Doctor :  
i will try my best to help you
Doctor :  
ok
Doctor :  
is he stressed out?
User :   on alternate side
User :   yeah too much stressed all the time
Doctor :  
ok
Doctor :  
alternating headaches are a sign of tension headaches
User :   ringing n nigling noise
Doctor :  
he will need to take pain medications like Dolo 650 to relieve pain
Doctor :  
and also practice relaxation techniques
Doctor :  
that will help him
User :   is yoga helpful for him
Doctor :  
he wil also be stressed due to your being stresed
Doctor :  
yoga will be helpful
User :   but y noise in brain maximum times
Doctor :  
having a hot water bath, spending time on his favourite sport, spending good time with you
Doctor :  
all these will help him out
Doctor :  
for the ringing in ears and head, he will need a ENT examination and audiometry
User :   u know he is suffering frm AZOSPERMIA
Doctor :  
ok
User :   we dont have have kids
Doctor :  
azzospermia is of two types
User :   he is tensed always for this
Doctor :  
obstructive and
Doctor :  
quantitaive
User :   he is too much tensed for me also
User :   that i dont know
Doctor :  
in obstructive, we can try to find the cause for obstruction and treated
User :   it is nil sperm count
Doctor :   yes i know that
User :   i think its quantitative
Doctor :  
sometimes with the obstruction, the sperms are not visible in the analysis
User :   there is no obstruction dr.
Doctor :  
other cause is testicular cause, where the production is hampered
Doctor :  
testicular cause can be confirmed by a biopsy, which will confirm the presensce or absence of sperm producing cells
User :   he had undescendent testis
Doctor :  
ok
Doctor :  
since how long was this problem?
User :   since birth dr.
Doctor :   has the testes decended now?
Doctor :  
is there both side undescended testis or one side?
User :   only one decended at the age of 14
Doctor :   ok
User :   both testis
User :   one down by opertation at the age of 14
Doctor :  
so now the cause for his azzopermia can be found out by doing a biopsy
Doctor :   and seeing if that one testis has cells to produce the sperms
User :   is there any hope
Doctor :  
if the cells to produce the sperms are present
User :   coz he is now 44 n i m 41
Doctor :  
then the sperms can be taken and the egg from you can be taken and fertilization can be done outside your body
Doctor :  
and the fertized ovum placed inside you
Doctor :  
but first you will need to control your thyroid status
User :   ok dr
Doctor :  
Sushma, may i ask if you and your husband take non vegetarian food?
User :   sure dr
Doctor :  
having seafood, and seafish, oyesters, help in sperm development and maturation
Doctor :  
as they contain zinc
User :   i m vegetarian but sometimes take eggs
User :   my hubby is non vegeterain
Doctor :  
so having these will help your husband
Doctor :  
also tell him to avoid cigarrette smoke and alcohol as they are known to hamper the sperm productoin
Doctor :   start your husband on this medicine, it is a multivitamin, that could help him
Doctor :  
Tab. Supractiv one per day at bedtime
Doctor :  
have you folowed what i have said?
Doctor :  
It seems you have moved out of the chat window. Please log in back if you have medical queries.
Doctor :   are you back?
Doctor :  
have you folowed what i have said?
User :   yes dr
Doctor :   Is there any thing else I can help you with?
User :   for how long he has to take this medicine
Doctor :   he should continue to take this for atleast three months
User :   wat will be the substitute if we dont find this SUPRACTIV
User :   & of which company?
Doctor :  
advise him for a testicular biopsy to see if he is able to produce sperms
User :   ok
Doctor :  
substitute would be to take Tab Ato Z, which is widely available
User :   ok
Doctor :  
and if he does able to produce sperms, then after your thyroid status is normal, you can opt for in-vitro fertization techniques
Doctor :  
to get artificial pregnacy done for the infertility
Doctor :  
Is there any thing else I can help you with?
User :   no
Doctor :   Please fill the feedback form once again, and say done when done.
User :   is my thyroid problem is seriuos thing
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please chat with our doctors 24/7 for medical queries. Please refer your friends to our service.
Doctor :   you can get back to me after your thyroid profile and scan in case of any doubts
User :   sometimes it is hypo n sometime it is hyper
User :   ok
Doctor :   thyroid status need continuos monitoring to avoid such things happening
User :   ok
User :   i will do that
Doctor :  
so continue to go for regular checkups every 15 days for thyroid
User :   I will revert with all reports of scan
User :   thanks for the detailed info
Doctor :  
sure Sushma you can revert back to me.
Doctor :  
we are there to help you 24/7
User :   really your services are wonderful
User :   now i have more questions to be put forward to my consulting doctor.
Doctor :  
ok
Doctor :  
thanks Sushma
User :   so I should not worry at all
Doctor :  
sure Sushma, have faith in GOD, and continue your efforts to do the best you can for your health and for your husband
User :   yes i hve full faith in GOD and making efforts
Doctor :   yes, that is the right spirit,
Doctor :  
all the very best
User :   thanks
Doctor :  
Thanks for consulting HealthcareMagic. Bye for now. Please chat with our doctors 24/7 for medical queries.
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