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What Do My Thyroid Test Results Indicate?

Posted on Tue, 31 May 2016

Question: Hii Sir, I had gone for hypothyroidism test followed by prolactin test which showed high level for both of them. As prescribed by doctor currently I am taking eltroxin 50 and for prolactin cabergoline tablet. As secretion from breast stopped I stopped taking cabergoline. But recently secretion from breast started again. My weight is also not reducing and I am worried as I have not been able to conceive yet after 2 years of marriage. Please advice ...

Answered by Dr. Zenab Tambawala (3 hours later)

Brief Answer:
Repeat prolactin levels.

Detailed Answer:
Hi there,

If you have not conceived after 2 years of trying, you need to be evaluated completely.

I would like to know your age, your height and weight and if you have had any other medical or surgical illnesses in the past?

Also I would like to know if your periods are regular or not?

I would like to know your last prolactin and thyroid hormone levels as well.

You should repeat your prolactin levels as you are having breast secreations again and after discussion with your treating doctor restart cabergoline.

Excess prolactin hampers egg formation and makes getting pregnant difficult.

Hope this helps.
Regards.

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Zenab Tambawala (2 hours later)

Thanks Maa'm for your kind perusal. As asked by you I am providing inputs required for my evaluation. Age 29 years, height 5 ft 2 inches, weight 70 kg. No history of previous medical/surgical illness. Test result on 26 September 2015. : T3 1.61 T4 8.94 TSH 10.38, Prolactin 60.25. As prescribed by my doctor took cabergoline 0.25 and eltroxin 100 mcg. Further did test and results were as follows: T3 2.34 T4 13.72 TSH 0.04, Prolactin 1.12 ng/ml. Again as advised stopped cabergoline and still continuing eltroxin 50 mcg. Periods are generally regular with one exception I.e whenever we do intercourse periods start suddenly 5-6 days prior from the last day of month. I hope my feedback will help you to guide me further. Regards

Answered by Dr. Zenab Tambawala (4 hours later)

Brief Answer:
Dietary changes a must

Detailed Answer:
Hi there, Welcome back,

Your TSH and prolactin levels seem fine, but since you have breast secretions again, you need to repeat the blood levels of prolactin.

You need to get on a diet and exercise program , and loose at least 12-15 kilos of weight in next 6 months. This will not only make your cycles regular and ovulation will occur normally, your chances of getting pregnant will increase. Also if your weight is normal your pregnancy will be smooth and no complications.

Get in touch with a good dietitian and follow the diet strictly.

You can continue Folic acid and Metformin and Eltroxin.

Hope this helps.
Regards.

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Above answer was peer-reviewed by : Dr. Arnab Banerjee