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Pregnancy and hypothyroidism - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Getting Pregnant
Answered by

General & Family Physician
Practicing since : 2009
Answered : 676 Questions
User :   hello
Doctor :   Hi
Doctor :   Hi
Doctor :   How can I help you?
User :   working in BPO,i am married, it been 1.5 years of my marriage
Doctor :   Ok
User :   i have not yet conceived
Doctor :   ok
User :   i am consultin a gynec for the same, for infertility treatment , but
User :   my treatment has already started , but my in -laws want to chagne the doctor
Doctor :   ok
User :   suddenly eventhough i am feeling very comfortable with that doctor and medicines
Doctor :   ok
User :   please let me know if i can chnage the doctor , & medicines
User :   or it is not suggested to chagne
User :   doctor
Doctor :   Ok
User :   can u please help me by suggesting right thing
Doctor :   Let me know what are the medicines that you are put on
Doctor :   and how long it is been treated
User :   She had given me folinine- folic acid tablet for last one year
Doctor :   ok
User :   and as per her tests , nothing was worng in me
User :   so she said lets try normally,
User :   if it does'nt happens then we will start with fertility medicines
Doctor :   Ok was your husband tested?
User :   by the way forgot to tell you, that i am hypo thyroidic
Doctor :   Ok
Doctor :   yeah that really matters
User :   and i suffered fom harmonal imbalance
User :   and also i ahve irregular periods
Doctor :   Yeah
Doctor :   ok
User :   no actually she asked my husband to get semen test done
Doctor :   Ok
User :   but my in laws made a big issue out of it
User :   and also my husband
User :   now i am in toruble
User :   i dont want to cahnage the doctor , as i am responding to the medicines thorughly
Doctor :   What do you mean by response
Doctor :   by medicines
Doctor :   are your periods regular now
User :   i mean to say that i am feeling better , and comming out health related issues
Doctor :   did you get the hormone test done
User :   by the medicines prescribed by her
User :   yes
User :   i do it once in 2 months
User :   now my TSH level is normal
User :   she has started me with ovulation treatment
User :   with letrozole tablet
Doctor :   ok
User :   also i tolld harmonal tablets for three months for regularization of my periods and to come out of harmonal imbalance
User :   sorry i took
Doctor :   Ok
Doctor :   fine
Doctor :   Age, height and weight?
User :   age is 30
User :   5" height
User :   61 weight
Doctor :   Did the doctor do the scan?
User :   yes
Doctor :   Did she say any cysts?
User :   everything is normal
User :   no cysts
Doctor :   Ok when was the last time the TSH is normal
Doctor :   and how is T4 level?
User :   in the month of November
Doctor :   Fine
Doctor :   Were the Serum FSH and LH levels done anytime?
User :   no
Doctor :   LH/FSH ratio?
User :   no
Doctor :   Do you have the reports?
User :   TSH report?
Doctor :   and when was letrozole started?
User :   From dec
User :   after my periods
User :   she suggested me that for two months
Doctor :   So now you mean to have regular menstrual periods?
User :   yes
Doctor :   Since the start of letrozole did you try to make intercourse
User :   yes
Doctor :   during the ovulatory period?
Doctor :   So it is been one month
Doctor :   isn't it
User :   during 10-12-14-16
User :   th day
User :   yes
Doctor :   Usually it takes 3 to 6 months period
Doctor :   for the correct egg to be released
Doctor :   and then till then you have to do intercourse
User :   ok
Doctor :   You can either explain it to your in laws
Doctor :   or you can ask your doctor to explain it to them
User :   ok
Doctor :   And importantly you have to lose weight
User :   yes
User :   i am trying that
Doctor :   61 kg is a obesity
Doctor :   and losing weight increases the chances of release of good fertile egg
User :   ok
Doctor :   and there by increases the chances of conception
Doctor :   by 60%
User :   ok
Doctor :   Do not worry you are doing fine
Doctor :   till now
Doctor :   Your TSH is come normal
User :   yes
Doctor :   and you can check for the ovulation days
Doctor :   and try to intercourse during those days
Doctor :   and as I said to you it takes 3 to 6 months
User :   ok
Doctor :   Reduce the weight, do not stop the thyroid supplements
Doctor :   and intercourse should be done not as a part of treatemnt
User :   ok
Doctor :   but try to be as lovable as earlier
Doctor :   and frequent intercourses will make things easier
User :   ok
User :   do i need to take ovulation tablet continuesly?
Doctor :   and I also suggest to convince your husband for semens analysis
Doctor :   are you spking about letrozole
Doctor :   is it given in injection or tablet
User :   yes
User :   tablet
User :   she said lets thry this for two months
User :   after that we can go with HSG
User :   not sure if it is HCG or HSG
Doctor :   HCG
User :   ok
Doctor :   yes you have to continue
Doctor :   and then HCG injections if the letrozole is not working
Doctor :   Ok?
User :   ok
User :   but is it feasible to change the doctor and medicines ?
Doctor :   Is there anything else I can help you with?
Doctor :   Please fill the feedback form say done when done
User :   but is it feasible to change the doctor and medicines ?
Doctor :   It is better not done
Doctor :   Continue the full course
User :   people say that for, regarding infertility treatment , one should never change the doctor and medicines
Doctor :   here with her as the lab and symptoms are resolved
User :   ok thanks u very much doctor
User :   last question, will i be able to get pregnant ever
User :   even after having so many ehalt issues
User :   health issues
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