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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Hypothyroid & PCOD. On Mcg. Blood Test Shows Low Tsh. Want To Get Pregnant. Suggestions Needed For The Same

Hi I m neha.i m having hypothyroid and PCOD. I'm taking 62.5 mcg.but thru new blood test I got to know that my tsh came down to 0.11 which is below normal.last time month my prolactin came upto 50, so doctor suggested don't take any medicine like domperidone etc which normally increase the prolactin level.this time prolactin came upto 8.27.i want to plan for pregnancy.i already had two miscarriages.after my mis carrige in september 2012 i already showed to my doctor..she suggested to take one folic acid,ecosprin daily and weekly calcium tablet and once in two months vitamin d tablet.i want to know whether I m going in right direction or not.my cycle also got stopped in April 2013.than I took tablets Ccq on the third day of my cycle and on 16 th day onwards sustenance ,to get my cycles.please give me ur guidance whether I m taking right medications or not.
Tue, 18 Jun 2013
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General & Family Physician,  's  Response
Hello and welcome to HCM.

Thank you for your query.

I have gone through your query with diligence, and it appears as though you do have multiple problems, but all that is required is to reach a balance. This might take time.

Your doctor was right in advising against medications which might raise the prolactin levels, and as that is normalizing it is good.

Your thyroid hormones will have to be constantly monitored, and a medication should be advised only if they rise above normal again, until then, please refrain from any thyroid medication.

Another fact we need to pay special attention to is your PCOD. This condition alone can result in problems with fertility. The CCQ tablet is the right treatment that has to be prescribed in females with PCOD who wish to conceive. Please continue this medication, which will promote and protect pregnancy.

Folic acid, calcium and iron should be advised 2 months before you start trying to conceive, it appears as though the iron supplement is missing from your regimen, please initiate the same with your doctors advise.

I wish you lots of luck and a safe and uneventful pregnancy, to yield a healthy and beautiful baby. God bless.

I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://doctor.healthcaremagic.com/doctors/dr-shoaib-khan/64581 . I would gladly help you.

Best wishes.
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Have Hypothyroid & PCOD. On Mcg. Blood Test Shows Low Tsh. Want To Get Pregnant. Suggestions Needed For The Same

Hello and welcome to HCM. Thank you for your query. I have gone through your query with diligence, and it appears as though you do have multiple problems, but all that is required is to reach a balance. This might take time. Your doctor was right in advising against medications which might raise the prolactin levels, and as that is normalizing it is good. Your thyroid hormones will have to be constantly monitored, and a medication should be advised only if they rise above normal again, until then, please refrain from any thyroid medication. Another fact we need to pay special attention to is your PCOD. This condition alone can result in problems with fertility. The CCQ tablet is the right treatment that has to be prescribed in females with PCOD who wish to conceive. Please continue this medication, which will promote and protect pregnancy. Folic acid, calcium and iron should be advised 2 months before you start trying to conceive, it appears as though the iron supplement is missing from your regimen, please initiate the same with your doctors advise. I wish you lots of luck and a safe and uneventful pregnancy, to yield a healthy and beautiful baby. God bless. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://doctor.healthcaremagic.com/doctors/dr-shoaib-khan/64581 . I would gladly help you. Best wishes.