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Thyroid
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| Q: My wife was under treatment for hypothyroidism and she was taking thyrox-50. A few months ago the doctor said her thyroid had normalised, and asked her to discontinue the medicine. She had been on it for almost 4.5 years. Now she is pregnant. Will the medication taken earlier affect the pregnancy in any manner? Amar (London, U.K) |
| A: Repeat the thyroid test again. Her earlier medicines will not affect the pregnancy but if her thyroid hormones get disturbed during pregnancy she could have a miscarriage. Thyroid medicines can be taken during pregnancy. |
| Q: I had undergone a laparoscopy for PCOS, and had been under induced ovulation. I am hypothyroid, and am taking thyronorm50 mg. I am 10 weeks pregnant. All these weeks I have had a pain in the lower abdomen. I am taking utrogestan 200 mg three times a day, but I still pain. Please suggest a solution. Falguni (Sholapur, India) |
| A: Do a Sonography to find out the cause of pain. If everything is normal, the cause of pain is the stretch of the ligaments and can be relieved by lying down on the side of the pain. It will reduce after three to four weeks. |
| Q: My problem is that it was detected that I was having Hypothyroid problem last year. Due to correct medication, my thyroid glands are performing perfectly now. But my periods are irregular. I have to take "PRIMOLUT-5mg" to start my periods and even then, the bleeding is so scanty. But now for the last two months, I have not had my periods at all, but I still suffer from PMS and related problems. I am in in my thirties. I am sure this cannot be menopause. Please help me as I am feeling so helpless and I have no one to talk to. Can it be due to some other kind of hormonal imbalance? Do I need to take medicines yet again? Please advise. Melisha (Sholapur, India) |
| A: You have to see if your thyroid hormones are now normal and consult a doctor to prescribe the ovulation inducing drugs, which will help in regularizing the period, as well as to get you pregnant if you desire. Don't worry, this is not menopause. |
| Q: My husband is currently being treated for hyperthyroidism. I have a few questions:
1. Does hyperthyroidism affect fertility?
2. If we decide to have a baby, what effect can hyperthyroidism have on the baby?
3. What precautions can we take?
4. Does being underweight also affect fertility? Though I am healthy and have no health problems, I think I am underweight! What should I do before I decide to go in for a baby? Laxmi (Indore, India) |
| A: Hyperthyroidism in the male is insignificant if the sperm count and the motility are normal. Being underweight but healthy has no negative effect on the fertility. You can plan your pregnancy, and when you are pregnant you will gradually put on the required weight under guidance of your gynaecologist. |
| Q: I have been married for 2 years. I was diagnosed as Hypothyroid 6 months ago. I am taking Syntroid 100mgm. Now my TSH levels are normal and my periods had been regular for around 6 months, but since the last two months they have started getting delayed again. What could be the possible reason? I am trying to get pregnant so will there be any difficulty in that? I have also been having a white discharge. Simi (Washington, USA) |
| A: You will need to check if your hormone levels have changed. The dose of your medication may need to be altered. Yes, your condition may pose difficulties to conception. See your gynaecologist for the white discharge and check if you have any infection. |
| Q: I've been trying to get pregnant for the past few months. I have HYPOTHYROID problem, but it is now under control. I have been seeing a fertility specialist for the past 8 months. When I first visited my doctor, they found out that I ovulated that month naturally but my progestrone level was marginally lower than normal, so my doctor decided to put me on Clomid 50mg and since that month I've been ovulating every month regularly and my progestrone level has also increased. I'm also having IUI to get pregnant, but still am not able to get pregnant. Is it normal to have IUI for so long (5-6 cycles) with regular ovulation and no success? Komal (Rocklin, U.S.A) |
| A: You will need to see if you need any thyroid medications and also check if the fallopian tubes are open before you try again. If 5 to 6 IUI cycles have failed, you will have to get more tests done and think of IVF - ET. |
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