Suggest Treatment For Depression, Confusion And Lack Of Concentration

Posted on Wed, 22 Jul 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 22 Jul 2015 Answered on

Sat, 8 Aug 2015 Last reviewed on

Question : I'm taking thyroxin 50 for 5 years . Suffering pcos for 3 years . My height is 160 cm.and weight is 69. Always feeling confision. I cant concentrate on my works. Hopeless lik depression. How can I overcome ?

Answered by Dr. Ajish TP (26 minutes later)

Brief Answer:
Please rule out other causes that lead to depression

Detailed Answer:
Hi,

Welcome to HCM. I have gone through the question and understand your concerns.

Please rule out other cause of depression, confusion and lack of concentration.

1. Do a thyroid function test make sure you are adequately replaced with thyroxine. At your age TSH should be below 2.5 miu/ml

2. Please check the medications you are on for PCOS - if you are on some oral contraceptive pills for PCOS, that could cause these symptoms. If so change the medications to non hormonal drugs

3. Check your blood glucose, HbA1c, vitamin D, blood routine, cholesterol etc to look for any underlying diseases.

If all reports are normal, you should consult a psychiatrist and get help with anti depressants.

Hope I have answered your questions. If you have any further queries I will be happy to help you

Regards,

Dr Ajish TP [MD,DM]
Consultant Endocrinologist

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ajish TP (6 hours later)

sir my testosterone - 4 , tsh- 1.06 , t4 - 0.84 , prolactin- 10.3, fsh- 5.47 , anti tpo - 465 . at present I'm taking thyroxin 50 only. last year I had XXXXXXX pils for 6month. I'm a single women. acualy I'm worried about my martiagr life boz of pcos and thyroid.thats y I'm nt getting mattied yet.

Answered by Dr. Ajish TP (18 hours later)

Brief Answer:
See detailed answer

Detailed Answer:
Hi,

Welcome back.

PCOS is a condition that affect around 15-20% of females of your age. So no need to postpone marriage for that.

There are two main issues with PCOS -
1. Increased male hormones and cosmetic problems due to that - which we can treat medically and cosmetically
2. Ovulatory problems - irregular menstrual cycles and fertility issues. Both can be treated well with medications.

I have gone through the reports - FSH, prolactin and thyroid function is normal. TPO is positive (suggesting a cause for hypothyroidism - the high value has got nothing to do with treatment), but you are adequately replaced with thyroxine.

The testosterone report is usually given in many units and lab normal varies. So mention the unit (ng/ml, ng/dl etc) and the normal for that lab.

These reports do not point to your symptoms. I think you should consult a psychologist first - try some life style modifications, meditations, yoga etc and if nit improving consult a psychiatrist and get started on medications.

Regards
Dr Ajish TP

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar