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Pregnancy and Thyroid problems - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Thyroid Problem and Hormonal Problems
Answered by

General & Family Physician
Practicing since : 2009
Answered : 594 Questions
Doctor :   Hi
User :   Hi, My thyroid test result shows that I have T4 12.7 where as the range is 4.5 - 10.9 and T3 as 1.71, range being 0.6 - 1.81. Please advise what further action to be taken.
User :   Good Evening Sir
Doctor :   let me read your query
Doctor :   may i know, how much is your TSH if done ?
User :   TSH 2.7
Doctor :   are you having any symptoms - like palpitations, weight loss (over the last 3 months), sweating, etc, sleeplessness ?
User :   Sleepless ness sometimes, palpitation always
Doctor :   Your TSH is within normal levels
User :   no weight loss as of now
Doctor :   are you taking any medications?
User :   I am worried about T3 n T4 levels
Doctor :   T3 is as such, within normal levels
User :   No medication
Doctor :   have you seen a doctor, or had a Physical examination lately?
User :   Not yet, thatswhy i am asking for an advice
User :   I had throid on n off from the past three years
User :   It was Hyper Thyroid all the times n Hypo Throid once
Doctor :   i would advice you to see a internist, (medicine specialist) , so that AFTER examination, we can determine the need for thyroid USG
Doctor :   if you have thyroid swelling in the neck, we would have to rule out other causes, and need be a thyroid surgery, depending on the final diagnosis
Doctor :   as such , let me know if you have the following symptoms
User :   Swelling is not that prominent, I can feel the swell
Doctor :   Diarrhea, headache, insomnia, protuding eyes, eye pain, feeling hot all the time
Doctor :   if you have such symptoms a doctor evaluation is needed
User :   I hve headache, vomiting sensation, joint pains, temperature sometimes
Doctor :   Or else, since your TSH is within normal levels, i would advice you to wait for 6 weeks, and then repeat the test again
Doctor :   most of the time, T4 levels, can be elevated in other conditions of infection, inflammation , etc
Doctor :   But the probable cause - will be if you have had a high TSH
User :   ok Sir. So, with this T4 level, can I plan pregnancy?
Doctor :   SINCE the TSH, is normal & you have least symptoms ,you can relax & wait
Doctor :   please postpone the pregnancy for 2 -3 months, after you repeat the tests in 6 weeks
Doctor :   AS such, it does not have major problems
Doctor :   with pregnancy, with High T4 levels
Doctor :   In women, T4 levels, can be high, due to the estrogen hormome, causing protein elevations
Doctor :   this could also be the cause of high T4 levels
Doctor :   So relax for now, wait for 6 weeks, repeat the tests,
Doctor :   if the levels are similar, then go ahead with the pregnancy
Doctor :   have you followed what im saying?
User :   One more question Sir...
User :   Yes, I did follow
Doctor :   sure , go ahead
User :   This is actually related to Conception
Doctor :   ok
User :   Its been an year I got married and I am not at all interested in Intercourse.
User :   Ours is a Love Marriage, we know each other Three years from now
Doctor :   ok
User :   Is there any special reason for this disinterest
User :   why dnt I get any feelings
Doctor :   Do you like the company of each other ? do you spend more time with each other?
Doctor :   absence of quality time spent with the couple, and stress of job, can decrease the libido
User :   Yep, I like his company and I want spend every second with him only
Doctor :   Are you stressed with your job ? and do u have fatigue, etc ?
User :   I am a Home Maker
Doctor :   oh ok
Doctor :   what does your husband do?
Doctor :   are you having a lot of household work?
User :   He works with aMNC
User :   house hold work is almost negligible
Doctor :   do you stay alone or with inlaws?
User :   We stay alone
Doctor :   also let me know, why were the tests done in the first place
Doctor :   ok
User :   tests? Thyroid? As I feel I have some swelling around my neck n also I am feeling weak though eating properly
Doctor :   I would advice you , to take a short break, and then start anew
Doctor :   so that you can find a connection together
User :   two breaks already taken, we went to US n Kerala
Doctor :   if not, anemia, hypothyroidism, high prolactin levels, are some of the causes of loss of libido
User :   Hez romantic but I am not
User :   He loves me so much that hez still with me
User :   okie
Doctor :   if not already done, a complete blood check (Hb
Doctor :   Also, pain during sex, or anticipation of pain, can be a turnoff as well
Doctor :   also lack of lubrication also be a cause
User :   yeah, coming to that only... my private parts are very sensitive, n they crack as soon as he tries to ...
Doctor :   Also, try oral sex for a change, which will help you to get back the old touch and the libido
User :   I dont like Oral
Doctor :   use, KY jelly available OTC
User :   okie...
Doctor :   THIS can increase the lubrication
Doctor :   and improve the sensation
Doctor :   also, if both partner are hygienic, oral sex is a very good to improve sexaul relationships
User :   Should I have to seek any Psychiatrist's advice regarding this as I am nearing 30yrs and its high time to have kids now
Doctor :   ask your hubby, to perform on you, and if you lose the inhibition, you may regain your libido
Doctor :   as such, try the methods suggested by me,
Doctor :   if this does not work, seeking a psychiatrist help, would be good
User :   okie...
User :   any specific food habits which might help me getting sexual feelings towards my partner?
Doctor :   give me a min
User :   Yes sir
Doctor :   oysters, prawns,are classic aphrodiasics
User :   okie..
Doctor :   banana, avocado, almonds, cashew - are also good
User :   Is there any diet chart for this? If so, please help me with it
Doctor :   mangoes, peaches, strawberries, eggs, - are also good
Doctor :   there is no specific diet chart
Doctor :   you can eat them as you want
User :   ok sir...
Doctor :   chocolate garlic also best
User :   okie
Doctor :   asparagus, oysters, dark chocolate can be used
User :   Thank You so much for your time sir...
Doctor :   you are welcome
Doctor :   if you get tests done , be sure, to get a serum prolactin levels, done, which if high, can reduce the libido as well
Doctor :   But follow the suggestions given by me
Doctor :   and you will feel changes to be better
User :   Yes Sir, Thanks once again, Have a nice evening
Doctor :   you too
Doctor :   thanks for consulting me here
Doctor :   bye for now
User :   Bye Sir
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