Question: Hi, I'm 33yrs old. I'm on fertility treatment for past 1 year for second child. I consulted a new Gyc recently and she tested TSH level and found it to be 4.56. She advised ideal TSH for pregnancy is 2. My Gyn has not checked on T3 & T4 levels but asked me to take Thyronorm 25mcg for a month and then again checked on TSH, no change in value so increased dose to 50mcg. My questions are is it fine to test TSH alone and start with thyroid medication. Can we expect a change on TSH level the very next month after starting to consume thyronorm? Recently I also see that I'm getting white fiber like discharge in my urine, is it due to the thyroid medicine?

Thanks for the response Dr. Will do the urine tests soon, meanwhile can you pl tell me will the infection (if so) be an hindrance for fertility? since I'm already in the mid of my cycle now. Please also let me know the name of T3 & T4 tests to be taken (anything specific?).

Also have 1 more question wrt my husband's health

He is 37 yrs and has been recently diagnosed with high BP 150/100 and is on BP medicines past 1.5 months. My question is will there be a reduction in sperm count due to high BP? and can the sperm count improve if the BP medicines are taken and it is kept in control? [History- He took a sperm count test in Jun ie before we diagnosed BP it was only 2 million, contradicting to what we took last oct only when it was 45 million- you think this drastic reduction would have been due to high BP?)

Thanks so much.