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What Causes Extreme Fatigue,headaches,dry Skin And Irregular Periods?
Question: Hi
I am a 34 year female. 5.3 , 77 kgs. Had a miscarriage 10 years ago at 6months of pregnancy, early labour. Ever since have not been keeping well. No proper cause was detected in all major tests. Just mild Pcos. Later concieved n delivered a baby girl at 7.5 months, premature delivery. So now have a 7 year old girl n a 5 year old boy. These days experiencing extreme fatique, headaches, dry skin, irregular periods. Latest test :
Tsh - 2.7
Anti Tpo - < 1300
Mildly enlarged thyroid gland
Prolactin - 35
Testosterone - 71
Lh & Fsh normal range
Please suggest appropriate line of treatment.
I am a 34 year female. 5.3 , 77 kgs. Had a miscarriage 10 years ago at 6months of pregnancy, early labour. Ever since have not been keeping well. No proper cause was detected in all major tests. Just mild Pcos. Later concieved n delivered a baby girl at 7.5 months, premature delivery. So now have a 7 year old girl n a 5 year old boy. These days experiencing extreme fatique, headaches, dry skin, irregular periods. Latest test :
Tsh - 2.7
Anti Tpo - < 1300
Mildly enlarged thyroid gland
Prolactin - 35
Testosterone - 71
Lh & Fsh normal range
Please suggest appropriate line of treatment.
Brief Answer:
Need a little more work up.
Detailed Answer:
Dear XXXXXXX
As far as your reports are concerned, they are normal or appear normal. But you are symptomatic. So what we require is a little more evaluation.
We need to know your FT4, Estradiol. Are you on any medicines? Do you have breast milk discharge? We might require your MRI brain for pituitary with contrast. There are some pointers towards pituitary involvement. Hence the evaluation.
Regards!
Need a little more work up.
Detailed Answer:
Dear XXXXXXX
As far as your reports are concerned, they are normal or appear normal. But you are symptomatic. So what we require is a little more evaluation.
We need to know your FT4, Estradiol. Are you on any medicines? Do you have breast milk discharge? We might require your MRI brain for pituitary with contrast. There are some pointers towards pituitary involvement. Hence the evaluation.
Regards!
Above answer was peer-reviewed by :
Dr. Prasad
Thanks for the reply..
Here is more information:
Ft3 - 4.9
Ft4 - 16.7
No breast discharge
Estrodial test not done.
Got TSH test thrice from 26 April 14 , 28 and 29 th May..
Values were 2.7, 2.3 and 2.01 resp.
I having homeopathic medicine Thyroidinum 3x for last 2 months.feel slightly better with it, especially with regard to the dry skin symptoms.
Please advise.
Here is more information:
Ft3 - 4.9
Ft4 - 16.7
No breast discharge
Estrodial test not done.
Got TSH test thrice from 26 April 14 , 28 and 29 th May..
Values were 2.7, 2.3 and 2.01 resp.
I having homeopathic medicine Thyroidinum 3x for last 2 months.feel slightly better with it, especially with regard to the dry skin symptoms.
Please advise.
Brief Answer:
thyroid seems to be normal.
Detailed Answer:
Dear XXXXXXX thyroid is ok i believe. prolactin is high causing irregular periods. you may require MRI brain for pituitary with contrast. Normally, for my patients I would start cabergoline 0.5 mg once a week and also add thyrowell or thyropace , once a day. Meanwhile you get your MRI report in hand. Regards!
thyroid seems to be normal.
Detailed Answer:
Dear XXXXXXX thyroid is ok i believe. prolactin is high causing irregular periods. you may require MRI brain for pituitary with contrast. Normally, for my patients I would start cabergoline 0.5 mg once a week and also add thyrowell or thyropace , once a day. Meanwhile you get your MRI report in hand. Regards!
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Thanx Doc..
But why thyrowell or thyropace if thyroid appears normal. Are we supposed to do nothing about the elevated anti Tpo?
Regards
XXXX
But why thyrowell or thyropace if thyroid appears normal. Are we supposed to do nothing about the elevated anti Tpo?
Regards
XXXX
Brief Answer:
Anti TPO does not need treatment per se.
Detailed Answer:
Dear XXXXXXX anti TPO tells us that you have auto immune disorder and likely to develop thyroid disorder , but they themselves do not need treatment. you need to monitor thyroid annually. thyrowell or thyropace are not thyroxine preparations, they are multivitamins specific for thyroid. they help thyroid to work better and make tissues more sensitive to thyroxine hormone. regards!
Anti TPO does not need treatment per se.
Detailed Answer:
Dear XXXXXXX anti TPO tells us that you have auto immune disorder and likely to develop thyroid disorder , but they themselves do not need treatment. you need to monitor thyroid annually. thyrowell or thyropace are not thyroxine preparations, they are multivitamins specific for thyroid. they help thyroid to work better and make tissues more sensitive to thyroxine hormone. regards!
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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