Hi Doctor, My wife had her last periods on Nov
Upload the report, if the value of 7 is for TSH then it is hypo not hyper.
Hello Mr. XXXXXXX
Welcome to Ask a Doctor Service,
I have read your query carefully and understand your concern.
Please upload the report so that I can be absolutely sure of what is going on.
Thyronorm is prescribed for hypothyroidism as you rightly said, and your doctor has prescribed it after seeing the report, but your doctor seems to have made a mistake while telling you the diagnosis.
If the value of 7 is for TSH, and T4 and T3 levels are normal, then it is considered as subclinical "HYPOTHYROIDISM".
If 7 is the value for T3, and TSH is low, while T4 maybe normal or low, then it indicates "HYPERTHYROIDISM".
I need to see the report to be certain of what is going on.
Please upload the complete report so that I can solve your query.
Report is of TSH, upto 5.5 is normal, your wife's is high.
Hello again Mr. XXXXXXX
The doctor has only done TSH level, along with that T3 and T4 levels should have been done.
Elevated TSH is almost always due to "Hypothyroidism".
TSH is elevated because there is actually low T3 and T4, and T3 and T4 are the thyroid hormones which are low and that is why it is hypothyroidism.
You can continue the thyronorm tablet, but there is no need to take 50 micrograms if T3 and T4 levels are within normal limits, 25 micrograms would be enough, for that you need to check T3 and T4 levels.
I hope that answers your query.
It is essential to maintain normal thyroid function
Hello again Mr XXXXXXX
Thank you for the follow-up.
Particularly during pregnancy, it is extremely important to maintain normal thyroid hormone levels as the growing baby also needs normal thyroid hormone levels for proper growth.
This hypothyroidism may improve after pregnancy, but most likely will persist for life and your wife will need to take the supplements for life time.
That is, she will need to take the thyronorm tablets daily throughout her life.
It does not cause any major problem if she maintains her thyroid hormone levels (T3 and T4 levels) within normal range.
Without knowing the current T3 and T4 levels I can not comment how bad the situation is right now.
The underlying problem is most likely an autoimmune destruction of the thyroid gland, please consult an endocrinologist and see if your wife has autoimmune thyroiditis which can be controlled with medication.
I hope this clarifies your queries further.
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