Is this hypothyroidism

[soldierforchrist]

Am 33 year old female.
My tests result are as follows TSH -1.08 uIU/ml , FT3-4.03pmol/L  ,FT4-11.21pmol/L.
I have the symptoms for hypo, infetility,no menstruation at all,fatigue,cold feet, feeling hot when others just okay,night sweats,mood swings etc.
Gynae just doesnt know what is wrong with me ,as my tubes are fine but somehow my hormones are messed up as i dont menstruate unless given pills and still after period i dont ovulate unless am given some medication

[gimel]

Doesn't need to be an Endo, just a doctor that is willing to treat clinically, as described.  If you have a doctor that might be willing to consider it, we can give you lots of scientific evidence of the benefit of doing so, and suggestions for how to go about it..  

[gimel]

Your Endo is wrong to overlook your symptoms and only pay attention to TSH and that your Free T4 and Free T3 are somewhere within the range.  Symptoms are why patients usually go to the doctor.  Numerous scientific studies have concluded that biochemical tests do not correlate well enough to be used as the sole diagnostic for hypothyroid patients.  Likewise test results are inadequate for medicating a thyroid patient.  

A good thyroid doctor will treat a hypo patient clinically by testing and adjusting Free T4 and free T3 as needed to relieve symptoms, without being constrained by resultant TSH levels.  Symptom relief should be all important, not just test results.  You can get some good insight from this link written by a good thyroid doctor.  

http://www.hormonerestoration.com/Thyroid.html

Just because your test results are within the ranges does not mean they are adequate for you, for a number of reasons.  Due to the erroneous assumptions used to establish the ranges, they are far too broad to be functional across their entire breadth, for many people.  Plus, as mentioned above, test results do not correlate well with symptoms, which are your concern.  Your Free T4 is only at 22% of its range.  Your Free T3 is at 47%, higher in range than your Free T4, because your body is trying to convert enough T4 to T3 to maintain adequate body functions.   Optimal for many people is to have Free T4 at the middle of its range, at minimum, and Free T3 in the upper part of its range, as necessary to relieve symptoms.  So you need to find a good thyroid doctor that will treat clinically, as described above.  Do you think there is any chance to find such a doctor where you are located?

Also, hypo patients are frequently too low in the ranges for Vitamin D, B12 and ferritin.  You should get those tested and then supplement as needed.  D should be 55 min., B12 in the upper end of its range, and ferritin should be about 70 min.

[soldierforchrist]

I stay in Botswana , and there seems to be one Endo the whole country , i have searched on the internet cant locate any other.

[flyingfool]

I agree with Barb135

menstral irregularities is common symptom of Hypo as well.

Are you currently taking any thyroid medication?  If so what is the medication and what is the dosage?

[soldierforchrist]

Am not on thyroid medication

[Barb135]

Your FT4 is way too low in its range, suggesting hypothyroidism...

Rule of thumb is for FT4 to be about mid range and FT3 to be in the upper half to upper third of its range.  Your FT4 is only at 22% of the range and your FT3 is at 46% of its range.  

I'd suggest you ask your doctor to test the thyroid antibodies, to determine if you have Hashimoto's.  The tests are Thyroid Peroxidase Antibodies (TPOab) and Thyroglobulin Antibodies (TgAb).  You need them both, since some of us have one or the other, and some have them both.  

You should also ask your doctor to start you on replacement thyroid hormones, now, rather than wait until your symptoms get worse.

[soldierforchrist]

Hi
I have just come from the doc ,she says i am fine ,the test results are just fine. Okay she said that but am not convinced it was my first encounter with her ,i did the tests after talking to my gynaecologist about my suspicions . When i took these tests to the endocrinologist she looked at the tests and said all is well , despite all the symptoms i have.
Am so frustrated.

[des900]

Your thyroid function is fine. The symptoms you are experiencing is not related to thyroid.

[soldierforchrist]

T3 range (2.63-5.70) T4 range (9.01-19.05)
No other test has been done

[Barb135]

Please provide the reference ranges for the FT3 and FT4.  Ranges vary from lab to lab and have to come from your own report.

Have you had antibody tests to determine if you have Hashimoto's?  If so, please provide those results and reference ranges, as well.