I weigh 100 Kg. Can I conceive?

Question

Hello doctor,

I am 24 years old. My weight is 220 lbs and height is 5 feet 18 inches. I have attached my laboratory reports. I am presently taking Metformin 500 mg twice a day and Eltroxin 1000 mcg tablets. I stopped taking the tablets two days before the test was done. Can I conceive with this weight?

Answer 1

Hello,

Welcome to icliniq.com.

Considering you are obese, hypothyroid and still on supplementation, it indicates that serum insulin levels are high (attachment removed to protect patient identity). Hypothyroidism and anovulation could be a concern and you may be experiencing irregular menses.

You need to get a follicular study done for a cycle to check if your ovaries are producing quality follicles and if they are ovulating by midcycle or not. This can be achieved by transvaginal ultrasound. I hope PCOD has already been ruled out, which can further deter your chances of fertility.

You should reduce your weight and aim at 154 lbs, else you may always try assisted techniques of ovulation induction if there is any problem with ovulation.

Answer 2

Hello,

Welcome back to icliniq.com.

Yes, you are pre-diabetic as your fasting and 1 hour values are more than normal. With ayurvedic medication, if you are getting a good result, then it is fine. But, get a follicular monitoring study done to check out anovulation.