Should I start taking medicines for thyroid problem?
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I am a 38 year old female. I am having a recent weight gain and menstruation flow is very less than normal. I also have hair fall, tiredness and I feel there is something blocking my throat. Sometimes, I feel cold than other family members. So, I checked my thyroid levels. T3 was 0.87, T4 was 7.57 and TSH was 4.31. Though the TSH was normal, they told me that I am in the risk category. Should I meet an endocrinologist and start taking medicines? Or should I make lifestyle changes for this problem?
Hi,
Welcome to icliniq.com.
Your symptoms do fit into thyroid problem, but as long as the reports are normal you are not a candidate for medication. There is no need to consult an endocrinologist, but yes, some lifestyle changes have to be done. Do daily exercises like brisk walking, jogging or cycling for at least 15 minutes per day so that you shall lose some weight. Avoid non-vegetarian food and sweets. Your symptoms also fit into one more condition called PCOD - polycystic ovarian disease or syndrome. I recommend you get an ultrasound pelvis scan done for this and revert back with the report. Also, do a repeat TSH (thyroid-stimulating hormone) testing after two months.
Patient's Query
Thank you doctor,
I had a pelvic ultrasound done. The report stated that I have 6 mm calcification in the right lobe of the liver. It also stated that the uterus is mildly enlarged and the size was 117 x 33 x 51 mm. The endometrial echoes were normal with a size of 7.6 mm. There were two small follicular cysts in the right ovary. The larger one measured 18 x 14 mm. There was no mass or lesion in the adnexa and no fluid collection in the cul-de-sac. The impression was mildly enlarged uterus and it was also reported that the rest of the abdomen was essentially normal.
Hi,
Welcome back to icliniq.com.
No need to worry about the calcification in the liver. Only two cysts in the ovary do not come under the diagnosis of PCOD. Still, you might be at a risk of PCOD. Anyway, you do not need any medications. Just follow my advice and do a repeat TSH after two months.
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