Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

164 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

IS medication necessary for under-active thyroid?

Answered by
Dr.
Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

default
Posted on Sat, 25 Jan 2014 in Thyroid Problem and Hormonal Problems
Question: Hi I am a man in my fifties and have been taking female hormones for about 20 years or so. Just recently I was diagnosed with low thyroid and am taking meds. for this condition but I have been told that women have lower thyroid readings, so should I continue taking the thyroid medication? When I don't take it I don't feel any different
doctor
Answered by Dr. Shehzad Topiwala 6 hours later
Brief Answer: Thyroid Detailed Answer: Once an under-active thyroid has been diagnosed correctly as a permanent condition, it requires life long thyroid medication. This applies regardless of gender. The levels and targets are the same for both sexes, women are more prone to thyroid problems in general than men. So the key question is whether your TSH was greater than normal ie out of range. Usually anything above 3.5 is considered abnormal even though many labs continue to print 4.5 or 5 as upper limit of normal. The free T4 levels also are useful is aiding the diagnosis. If they are below normal then it supports the diagnosis of 'hypothyroidism'. However, it is more important to determine whether this is likely to be permanent (ie caused by an auto immune condition called Hashimoto's) or temporary (ie caused by a bruising of the thyroid called thyroiditis, which has a chance of recovering to normal). Such a differentiation can be best made by seeing an endocrinologist, although doing a blood test called anti TPO and anti Thyroglobulin antibodies does help. Regarding symptoms, I can understand why you may not feel different off it. The reason is that the symptoms of an underactive thyroid can be subtle and non-specific, especially if the degree of 'hypothyroidism' is mild. It is generally advisable to treat this as well. However, the decision has to be made after a discussion between the individual and the endocrinologist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions
Drug/Medication
Lab Tests
Medical Topics ,  

Recent questions on  Thyroglobulin

doctor1 MD

what is tyrogloubin antibodies results of >1000 i have just recently been diagnosed with vitiligo witch i am being treated for

doctor1 MD

what is normal blood count mine is 6.1

doctor1 MD

Hi I am being treated for vitiligo right now and my dr did blood test and i recived them back my thyrogloubin antibodies are 1000 can you please tell me what this is ?

doctor1 MD

Hi I am suffering from bloating ,biopsy says its abnormality in villi they are neither straight nor the duodenum surface is without them their shape is bending ,do not know what to do can you give me any suggestion ;anti-thyroglobulin ;484
anti thyroid peoxidose ;44
TSH; 0.01

doctor1 MD

Dear Doctor Topiwala.I have been diagnosed with Anti Thyroglobulin Antibodies of 18.5. My Thyroid function is 2.5. I have just had two embryos implanted after IVF. What are my chances of conceiving? Is there anything I can do to help my situation. I am on prednisolone 15 mg and aspirin and clexane injections but do not have any other auto immune issues. Thanks for your help.

doctor1 MD

Hi, my dad s diagnosed with 4th stage thyroid cancer, with metastases to his left pelvic bone & slight traces on the lungs. He has already undergone radioactive iodine treatment 5 times(starting from Feb 2012 every six months) where he is crossed the dosage of 950 mci. He also took thyrogen injection the last two times along with the radioactive iodine treatment. The doctor says that he cannot undergo further radioactive iodine treatment as the maximum dosage is given & more treatment could be toxic for his own body. If the treatment is stopped, won t his cancer spread further? Is there any other alternative to control the cancer? His thyroglobulin blood serum was 18,800 ng/ml 2 years back where the normal range is supposed to be between 1.4-78.0 ng/ml. His recent thryoglobulin blood serum which was taken on 12th Feb 2014 now has reduced to 10,119 ng/ml. Please advise. Thanks & Regards, SRF

doctor1 MD

HI, I had my entire thyroid removed in 2002 and radiation, due tumor. Since that, I have blood work every 6 months to check my Thyroglobulin Level and it is been checked by my Endocrinologist.. They look perfect all these years. NEVER CHANGED.
THYROGLOBULIN THYROGLOBULIN AB Last week my new Internist ask me to have blood work in another Lab. and the Thyroglobulin level shows a different number.
THYROGLOBULIN 2.06 ng/mL range (1.60 - 59.90) THYROGLOBULIN AB How it changed after years? What the rise means? Is it bad?
Should I repeat it in the Lab I use often with my ENdocrinologist?
6 months ago it was Please, helpe me