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Subliclinical Hypothyroidism

Hello, today i was diagnosed with subclinical hypothyroidism
(just high TSH, antibodies are OK).
I had risky sex encounter 3 months ago. Doctor said this can be triggered by something else in my body, that my thyroid gland and function are OK.
So, my question is,  what kind of virus can trigger high TSH levels ?
Can HSV infection trigger high TSH ?
Thanks
4 Responses
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649848 tn?1534633700
COMMUNITY LEADER
Let's take it one step at a time... What antibodies were tested?  Did you have, both, TPOab and TgAb to rule out Hashimoto's?  Did you have a thyroid ultrasound?  Some people have been diagnosed with Hashimoto's based on the characteristics of their thyroid tissue.

TSH is a pituitary hormone that stimulates the thyroid; if the thyroid is working fine, TSH levels should not be getting too high.  Why not start by posting your actual lab results so we can see what they are?  It's possible that your thyroid hormones may be in the normal ranges, but they aren't high enough for you.  

Some viruses and bacterial infections trigger autoimmune reaction; TSH is affected by a wide variety of things and may vary by as much as 75% over the course of a day. Make sure you're being tested for Free T4 and Free T3, which are the actual thyroid hormones, not just TSH, which is an indicator, at best...

Have you been tested for STD's to make sure you're negative for those?

Helpful - 0
2 Comments
Thank you for reply. I haven’t paper with me but T4 and T3 were also tested and fine. Also doctor said antibodies are okeY including sonography. Just TSH was high (15)... 2-4.8 is normal range or something like that.
What can trigger this? I had that encounter and just herpes was found high. Nothing else
Specialist(endocrinologist) also said that it seems like it triggers some autoimmune disease. But I was always healthy and do sport all my life. I am 100% sure it is some infection because I have been tested for bacteria (CRP) and it is OK.
Also all stds(hiv,syphilis and so on) . Just herpes IgG was incredibly high ... 0-500 is normal and I have 44 000 but doctors said it’s fine. Can it be HiV? I did 4 ab/ag tests after two months and all negative.
649848 tn?1534633700
COMMUNITY LEADER
TSH is not indicative of an autoimmune condition.  If the antibodies are negative, you don't have an autoimmune condition, unless it's a condition for which antibodies weren't tested.  

Herpes is virus and many of us have the herpes virus in our body, since herpes is what causes fever blisters/cold sores on our lips, etc, so that may be why your doctor said it was fine that you have herpes antibodies.

Since your TSH was 15, which is definitely over range, that is an indication that something isn't right with your thyroid.  Without seeing what your thyroid hormone levels were, I can't really tell you much.  It's very possible that your thyroid hormone levels were low enough in the range that your pituitary gland thinks your body needs more, so it's putting out more TSH in an effort to stimulate your thyroid.  The only way I can know that is to see your actual thyroid hormone test results.  

TSH is linked to thyroid activity... while a variety of things can affect, it's not directly linked to anything else.  Your sexual encounter from 3 months ago would, most likely, only have caused elevated TSH you had contracted some type of STD and apparently, that didn't happen... Your thyroid antibody counts are normal, so there's nothing attacking your thyroid; there's no reason to believe a virus has anything to do with your elevated TSH.  

CRP does not measure bacteria; it's a measure of inflammation, which can be caused by a number of things, including viruses, bacteria, injuries, etc.

If you've already done 4 HIV tests in 2 months and they're all negative, I'd say "no", you don't have HIV and that's not causing your elevated TSH...
Helpful - 0
2 Comments
So,
TSH - 13,35 mIU/l (0,35-5,10)
FT4  Thyroxin (free) - 17,180 pmol/l (10,5-22,700)
ATG Anti TG - 0,670ku/L (0-1,00)
ATPO Anti TPO - less than 0,35ku/l (0-1,00)
CA,MG,F also OK
Istmus : 2 mm
USG-OK

Subclinical hypothyroidism with antibodies OK. So, doctor said it is fine, without any pills, and I should continue check my levels after 1/2 year.
I just do not understand what kind of virus or bacteria can trigger this because before that encounter I was definetely healthy person.

Also I have symptoms like dry skin, leg burning, pain, sometimes its fine and sometimes worst. And my hair follicle on calf are purple and on my arms also.
brittle nails, little hair loss etc.
What kind of virus can do this?!

thank you very much for your help anyway!

He also  mentioned that:Thyroid is not enlarged, with echostructural picture, which seems like changes in autoimmune disease.
649848 tn?1534633700
COMMUNITY LEADER
Your free T4 is at 53% of its range, which is very good and indicates that your thyroid is producing adequately, at this time.  It's unfortunate they didn't do a Free T3, which is the active thyroid hormone that's used by nearly every cell in your body.  

It's true that thyroid enlargement could/would accompany a  thyroid condition and since you don't appear to have one, it's not surprising that your thyroid is not swollen or enlarged.

As I've noted, TSH can fluctuate as much as 75% over the course, of a day and because your thyroid hormones are more than adequate, plus your antibody counts are negative, there's no reason to think you have a thyroid condition.  

There are a number of things that can cause the symptoms you have, that are not thyroid related... they may not even be virus related; they could be related to some other vitamin/mineral deficiency, food allergy or something else, entirely.
Helpful - 0
2 Comments
I forgot to say that I agree with your doctor... waiting 6 months, then retesting may give more information.  At that time, try to have them test Free T3, along with Free T4 and TSH, as well.  

By then, perhaps, more/different symptoms will have appeared, so they will have a better idea of what's going on.  

That said, if, at any time during the 6 months you feel that you need medical care, don't hesitate to see your doctor.  

In the meantime, you might want to discuss the best lotion for your dry, itchy skin... mine, often gets very dry, but keeping it moist with a good lotion does wonders for it.  My nails also get brittle and break easily - I take a vitamin B-compex to help with that.  You might consider talking to doctor about that, as well.
But why the TSH is so high when there is nothing wrong with tryroid ? I do not understand what kind of STD can do this. Doctors can’t find nothing, but my symptoms like dry skin, pain in leg, tingling is not explained. It is definitely not mental related. Can it be triggers by tonsillitis chronica? After that accident doctor also found Staph infection in the throat.
Thank you very much for your reply
649848 tn?1534633700
COMMUNITY LEADER
I don't think you understand what I'm saying... I don't believe an STD caused your TSH to be elevated, since all of your tests are negative.  TSH is affected by many things, other than direct thyroid hormone levels.  Since your thyroid hormone levels are normal and all of your tests have come back negative, we have to conclude that there is nothing wrong with you.  There are some people who simply have a high TSH...I know someone who has a TSH of around 20 all the time, and their thyroid hormones are normal, they feel fine, etc. That's just their TSH level.  You may be that way, also.

Dry skin can be caused by many things, including, but not limited to cold weather, taking too many showers and not using adequate moisturizers.  Leg pain and tingling can also be caused by numerous things, such as too much exercise, sitting too long or in the wrong position, etc.

Again, waiting 6 months to retest may help shed some light on what's going, but if, at any time, you need medical care within that time, don't hesitate to get it...
Helpful - 0
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