Doctor insights on:
Treatment Of Anovulation Hypothyroidism
Yes: But need more data to confirm. Tsh, T4 lab and exam and scans. ...Read more
What is the diet required to regulate pcos symptoms such as menstrual disorders, infertility, hirsutism ?
PCOS: Yes, I recommend low carb diet and preferably Gluten free when you eat carbs.(WHOLEAPPROACH.COM/GUTBLISS.COM/PALEODIET) Also frequent evaluation of labs especially thyroid and diabetes screening. I have had good results with Metformin and Topamax (topiramate) if weight becomes an issue. ...Read more
Depends, TTC or not?: If not trying to conceive birth control pills are often used, sometimes with antiandrogens like spironolactone as well to decrease acne/hair growth more than bc pills alone. If trying to conceive we use Insulin sensitizers like metformin, plus ovulation-inducing tablets - most commonly Clomid (clomiphene) or Letrozole - sometimes low-dose shots or ivf if needed. Surgery for pcos is no longer a good option. ...Read moreSee 1 more doctor answer
What type of treatment is better for pcod in women. Which treatment will cure pco completely. Polycystic ovar?
Many treatments: There is no cure for PCOS. It is something you are born with and a lot of it is genetic. It can be treated in many different ways. Every women is a little different. It depends of how much pre-diabetes or diabetes you have, what your periods are like, and any other problems. Maintaining normal weight is essential ...Read more
What autoimmune disease causes hyperandrogenic symptom like irreg cycles, hirsutism, acne, hair loss, cushing is ruled out, mpv high, hormones normal?
Which of the following are auto-immune conditions? Hypothyroidism Coeliac Disease Endometriosis Chronic Fatigue Syndrome (CFS)
Comments: We are learning that the immune system is playing a huge role in many known diseases, and Celiac is certainly auto-immune mediated, and several thyroid disorders are too. Chronic fatigue is often a manifestation of other disorders, and is not considered a separate disease per se. Am unaware of current concepts regarding endometriosis. Should ask OB-GYN specialist. ...Read more
Is the risk of thyroid carcinoma increased with diagnosis of hashimoto thyroiditis when multiple thyroid adenomas are present. Tyab 2470?
Not if they function: If the adenomas are "cold" or do not function, then they are likely to be malignant. They do not show up on radionuclide scan because they do not function. Otherwise they are unlikely to be malignant. However, since you have many of them, you likely need and should get further workup, like aspiration biopsy, etc., along with treatment for your hashimoto's. ...Read more
What's best treatment for autoimmune thyroid disease and how is the treatment different than typical hypothyroidism?
Most often none: Most often the autoimmune process is not treated. We treat hypothyroidism or hyperthyroidism as those are the important consequences of the process. Treating the process itself with immune suppression is theoretically possible, but not done as such treatments can have serious consequences and in thyroid disease do not offer advantages. The only exception is graves' disease with ocular complication. ...Read moreSee 1 more doctor answer
Cushing's Disease: Hi. Cushing's Disease is the pituitary tumor cause of Cushing's Syndrome (which can also be due to adrenal tumors, various cancers, or exogenous glucocorticoids). So for Cushing's Disease, yes, the first approach is almost always pituitary surgery (taking not whole gland, but only the tumor). Subsequent treatment depends on success of surgery, but can be more surgery, radiation, medications. ...Read more
Underactive thyroid: Weight gain (usually no more than 10 to 15 pounds) and difficulty losing weight; cold intolerance; dry hair and skin; decreased sex drive; fatigue; weakness; muscle cramps; depression. Patients with mild hypothyroidism may not have any symptoms. ...Read moreSee 1 more doctor answer
None: True subclinical hypothyroidism should have no symptoms because the free hormone levels are normal. It is only the TSH that is elevated. I think of this as the body is having to work a little harder to produce appropriate amounts of thyroid hormone (thus needing more TSH to meet those needs). ...Read more