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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Any Suggestion To Reduce FSH, TSH And LH Levels?

My 14 year old daughter has always been fit and healthy. She had her first period at age 11. Normal periods until Dec2013, that was her last period. What concerned me even more was her intermittent complaints of hot flashes. Her pediatrician did bloodwork revealing elevated LH 53 and FSH 116. Low estrogen. Everything else okay including thyroid, prolactin, etc. Pelvic sonogram normal. Repeat bloodwork within the week, showed fsh and lh rising and now tsh getting elevated. I want to stop this /preserve what she has. Can you please help us get to the bottom if this?
Thank you for your help,
Candie Decker
917-515-7229/ YYYY@YYYY
Fri, 28 Feb 2014
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Endocrinologist,  's  Response
Hi Ms. Decker,

Good day. From the clinical picture and investigations what you provided, i am afraid that your daughter may be developing a condition called Premature ovarian failure ( POF). With the TSH going high along with that, she may be also developing Primary hypothyroidism. Now when one has both POF and primary hypothyroidism, she may have a condition called Auto Immune poly endocrine syndrome Type 2 ( APS 2).

However, We must do few investigations. Before that a thorough history and physical examination is required. We may also do a test called KARYOTYPING.

You should approach an endocrinologist soon who can help you with this. She would require hormone treatments and we need to think what we can do to preserve fertility.

AGAIN THIS OPINION IS SOLEY BASED ON THE INFORMATION PROVIDED AND WHAT SHE NEED IS A PROPER ENDOCRINE EVALUATION TO COME TO A DIAGNOSIS

Kind Regards

Binu
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Any Suggestion To Reduce FSH, TSH And LH Levels?

Hi Ms. Decker, Good day. From the clinical picture and investigations what you provided, i am afraid that your daughter may be developing a condition called Premature ovarian failure ( POF). With the TSH going high along with that, she may be also developing Primary hypothyroidism. Now when one has both POF and primary hypothyroidism, she may have a condition called Auto Immune poly endocrine syndrome Type 2 ( APS 2). However, We must do few investigations. Before that a thorough history and physical examination is required. We may also do a test called KARYOTYPING. You should approach an endocrinologist soon who can help you with this. She would require hormone treatments and we need to think what we can do to preserve fertility. AGAIN THIS OPINION IS SOLEY BASED ON THE INFORMATION PROVIDED AND WHAT SHE NEED IS A PROPER ENDOCRINE EVALUATION TO COME TO A DIAGNOSIS Kind Regards Binu