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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Consequences With High TSH Levels

Hi Dr Shivaprasad,
My name is Madhu (25 yrs), married 10 months back.We are planning for baby but due to my irregular periods i thought its better to consult gynecologist before i try for the baby. Gynic has suggested few tests related to thyroid. I have taken all the tests and the results are as below.
TSH- 7.66
LH- 11.42
FSH- 7.56
After the tests when i consulted the Gynecologist again she said that TSH levels are not normal. Could you please tell me the consequences of this. Will this effect my conceiving abilities. I am really worried if i can conceive or not, please help me to know the effects of this.
Regards

Madhu
Wed, 2 Nov 2016
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Endocrinologist 's  Response
Hello,

Subfertility or difficulty conceiving is one of many possible consequences of thyroid problems (both overactive and underactive). However once the TSH is confirmed to be high, it is most unlikely that reproductive derangement's occur. You have subclinical hypothyroidism, as the level of FT4 and FT3 are within the normal ranges. Such a determination is best made by an endocrinologist who will run appropriate tests such as thyroid peroxidase antibodies etc , in addition to detailed clinical evaluation.

If you certainly have an underactive thyroid from one of the most common causes ie Hashimoto's thyroiditis which is an auto-immune condition, then there is a likelihood of other auto-immune disorders to be concomitantly present. Some examples are premature ovarian failure, adrenal insufficiency and type 1 diabetes. All this requires a careful assessment by an endocrinologist.

Hope this answers your query. In case of any doubts, I am available for the follow ups.
Kind regards,
Dr.Mirjeta
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Suggest Consequences With High TSH Levels

Hello, Subfertility or difficulty conceiving is one of many possible consequences of thyroid problems (both overactive and underactive). However once the TSH is confirmed to be high, it is most unlikely that reproductive derangement s occur. You have subclinical hypothyroidism, as the level of FT4 and FT3 are within the normal ranges. Such a determination is best made by an endocrinologist who will run appropriate tests such as thyroid peroxidase antibodies etc , in addition to detailed clinical evaluation. If you certainly have an underactive thyroid from one of the most common causes ie Hashimoto s thyroiditis which is an auto-immune condition, then there is a likelihood of other auto-immune disorders to be concomitantly present. Some examples are premature ovarian failure, adrenal insufficiency and type 1 diabetes. All this requires a careful assessment by an endocrinologist. Hope this answers your query. In case of any doubts, I am available for the follow ups. Kind regards, Dr.Mirjeta