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TSH level 4.4. Regular periods, trying to conceive. Guide - Online Doctor Chats

Date : 30-May-2013
User rating for this question
Very Good Posted in: Thyroid Problem and Hormonal Problems
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
Doctor:This is Dr XXXXXXX
Doctor:How are you?
User:Good evening doctor
User:I am fine
Doctor:Good evening
Doctor:How can I help you?
User:3 months before I got tested for TSH as I had irregular periods. My TSH level was 3.7 then
User:Now from past 3 months my periods got regular and on time varying from 28-30 days
User:So I got the TSH rechecked yesterday and the level is 4.4
User:What is a normal range for TSH?
Doctor:Its definitely on the higher side
Doctor:and it needs to be treated
User:So you mean I need to consult a doctor for getting treated for TSH?
Doctor:Its a sign of hypothyroidism
Doctor:Have you gained any weight?
User:Is there a specific day in the cycle when I need to get the TSH tests done? Since yesterday was 24day of my cycle and I do not remember on which day I got tested when it showed 3.7
User:No doctor .. Actually I went through daily 1 hour walk in these 3 months and was able to loose around 6 kgs
Doctor:But you should get it done fasting
User:I did fasting in both of my tests
Doctor:Do you feel sleepy or lethargic?
Doctor:Or any other symptom like constipation or lack of concentration or feeling low?
User:I sometimes have constipation but not always
Doctor:How many servings of fruits and vegetables do you have in a day?
User:1 serving of fruit but not daily .. might be 4 days in a week.. and 3 servings of vegetables
Doctor:by 1 serving of fruit , you mean 1 fruit?
User:yes .. an XXXXXXX or any other fruit
User:sometimes a fruit bowl
Doctor:thats enough then
Doctor:and how much water do you consume daily?
User:actually lots.. more than 3 lts by evening and 3-4 glasses after 8pm
Doctor:thats great
Doctor:so we can safely presume that constipation could be due to hypothyroidism
Doctor:but the point is XXXXXXX
Doctor:that this needs to be treated
User:does TSH level increase as it nears MC?
Doctor:as untreated hypothyroidism is a risk factor for heart disease
Doctor:There is no such correlation
User:ok doctor
User:Actually we got this tested as me and my husband were planning for baby from July
Doctor:it should not be a problem XXXXXXX
Doctor:If you have hypothyroidism
User:and I had started [with doctors advise] started with folic acid everyday
Doctor:there is a risk of your baby having some abnormalities
Doctor:so we;d definitely like to treat it
Doctor:folic acid is good to continue
User:ok doctor
User:so what do you advice. Whom should I contact. Gynacologist or endocrinologist
Doctor:do you want me to tell my customer care team to fix an appointment for you?
User:yes doctor but I need a list of best endocrinologist so that it would be convinient for me to commute
Doctor:will do that
User:Thanks doctor
Doctor:Is there anything else I can help you with?
User:no doctor thanks. Will I be getting the information on my office id or can it be sent through sms to my phone
Doctor:They'll call you and ask your convenient time
User:As I was leaving for the day and wont be able to access my office id
Doctor:They'll fix an appointment and sms/email the details to you
User:ok fine doctor
Doctor:Thanks for consulting me
Doctor:Happy weekend
User:Thanks you.
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