high TSH, low T4, fluctuating prolactin

[makesthree]

Hello ~

I've been diagnosed with unexplained infertility. The only things that have been found are hormone imbalances and a strong possibility that I have celiac disease. Right now my TSH level is 6.4, while my Free T4 is normal (14). My prolactin has often been in the highish range - low 20s - but currently seems okay at 16.

I'm wondering if this high TSH reading with normal T4 could be indicating a problem with my pituitary. I was also tested for anti-thyroid antibodies and the test came back positive.

Any help you can give with this would be appreciated. Currently, I'm waiting to do repeat blood work in January to see if being off gluten is helping even out my hormones.

Thank you.    

[Ruby9]

A related discussion, Delayed the menses by 24 days was started.

[makesthree]

Thanks, Dr. Kim. I appreciate the help.

[John Kim, M.D.]

It is good that you have been investigating if you have celiac disease and thyroid problems. Even if your T4 is normal if you have anti-thyroid antibodies and elevated TSH, you could have problems with your thyroid. I would suggest that you see an medical endocrinologist about your thyroid and an reproductive endocrinologist about fertility. I wish you wellness.

[makesthree]

Sorry - that Free T4 should say 12 (with a range of 10 - 20 pmol/L)