What Do My Thyroid Test Results Indicate?

Posted on Sat, 16 May 2015

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

Sat, 16 May 2015 Answered on

Fri, 5 Jun 2015 Last reviewed on

Question : Hello Doctor,

I have had high thyroid since 7 years now. I usually take thyronorm every day. I am 5 ft tall and about 53 kg.

During pregnancy I have taken thyronorm upto 88 mcg (which was 4 years back). Then to 25 mcg and for past 2 years I am on 50 mcg dose.

I had my thyroid tests done a month back and following were my reports:

TOTAL T3:TRI IODOTHYRONINE - SERUM     0.63
TOTAL T4:THYROXINE - SERUM     8.8
TSH: THYROID STIMULATING HORMONE - SERUM     5.04     µIU/mL

I have few symptoms as of now
1. Long periods and heavy bleeding
2. Often getting cough and cold
3. Mild throat ache while swolloing

What should be my course of action now ?

Thanks,
Shalini

Answered by Dr. Ajish TP (51 minutes later)

Brief Answer:
You have to increase the dose of thyronorm

Detailed Answer:
Hi Mrs XXXXXXX

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

I hope you are taking thyronorm regularly.

While on treatment the TSH has to be maintained between 0.5 and 3 miu/ml. If you are planning another pregnancy it has to be below 2.5 miu/ml. So you have to increase the dose of thyronorm.

The next dose after 50 is 62.5 mcg. You can take it for 2 months and repeat the TSH to see if it is in target. If it is more than 3 you have to again increase the dose to 75.

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