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Hypothyroidism medication dosage - Online Doctor Chats

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

General & Family Physician
Practicing since : 2008
Answered : 3632 Questions
Doctor :   Hi
Doctor :   Dr .... here
Doctor :   Please proceed with your query
User :   hi
User :   am a 38 yr old with hypo thyroid
User :   i just got my t3, t4 and tsh done
Doctor :   Since when are you having hypothyroidism?
User :   my t3 is 79.67, t4 is 6.6 and tsh is 6.4
User :   abt 8 yrs
Doctor :   Ok
User :   i am on thyronorm right now
User :   i take 100mg one day and 50mg next
User :   shud i increase my dosage?
Doctor :   Are you having any problems right now?
User :   not really ... except maybe have constipation sometimes
Doctor :   Then why do you want to increase the dose?
User :   i dont ... since the tsh is above the normal range thot wud take ur opinion on it
Doctor :   Unless advised by your treating doc you need not increase it by yourself.
Doctor :   Is this the first time your TSH is higher side.
User :   i also have another query.. i had done a complete medical checkup done in may where USC of Abdomen and pelvis was done
Doctor :   Ok
Doctor :   What was the result?
User :   on actually my tsh was always normal... after my delivery after 2 yrs its gone up
User :   the result of usc for UTERUS says " Ther uterine myometrial echotexture is homgenous. No focal lesion is seen. Tiny cervical nabothian cysts noted
User :   The endometrial thicness is 8-9mm. Tiny endometrial calcifications noted
Doctor :   Ok, do not increase the dosage by yourself. You need to be completely examined before increasing the dose.
User :   the consulting gynac in the hospital has advised Repeat USC pelvis in view of calcifi rt ovary
User :   is it a cause of worry?
User :   the report also says " A 2.8 x 1.8 cm sized dominant follicle is noted in the right ovary. Tiny calcific foci are noted in the right ovary
Doctor :   You have a Nabothian cyst which is a mucus filled cyst and is not worrisome.
User :   ok .. thank you so much
User :   do i need to get a repeat test done
User :   my medical was done in apr 10
Doctor :   If there are calcifications in the ovary they need to be followed up. Are your periods regular?
User :   they are 24 to 28 days cycle... it used to be 28 previously but not they fluctuate betn 24 and 28 days
User :   the flow is also very less maybe 2-3 - 3 1/2 days
Doctor :   Has the flow reduced recently? Is there lot of pain during periods?
User :   no the flow has reduced since a few years and although there is paid during the periods it is not unbearable
Doctor :   These calcification's can increase in size and also spread infection during long term and also may cause fertility issues, so they need to be followed up.
User :   ok so after what period shud i get a repeat test done
Doctor :   You can get yourself examined once by a gynaecologist to see if there is infected endometrium so that it can be treated if required.
User :   ok thanks doc.
Doctor :   You can get it done after after your periods.
User :   actually my sone is now 3 yrs old and wud love to go for another baby
User :   any precautions / tests that i need to do before i think abt it
Doctor :   If you are interested in having a family then do go for a follow up and continue with treatment if required.
Doctor :   No precautions as such
User :   ok thanks... i am 38 yrs old so is it ok if i want to go for another Baby... I have one son
User :   and with my history of thyroid?
User :   mine was a precious 1st pregnancy since i conceived after 9 yrs
Doctor :   It is somewhat late but with regular follow ups you can though thyroid would not be a problem but as the age increases other factors also come up
Doctor :   Then i will advise to plan a baby soon.
User :   ok.. thanks a ton Doctor for ur patience and advise
Doctor :   Is there anything else you would like to know?
User :   no thank you so much
Doctor :   Thanks for consulting me, bye for now.
User :   bye
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