My doctor seemed perplexed when looking at the prolactin number. She wanted to do more bloodwork in 6 weeks and if the number was still high, then refer me to an endo. She did mention that it could be a benign pituitary tumor but didn't think so because of my other bloodwork. If it is something like that, do you know what the treatment is?
6 months ago my prolactin was fine, then in November I was almost 2 weeks late for my menstrual cycle (that never happens -- I'm always 28 days right on) Not sure if this is important or not.
I am definitely going to push on this -- happy you made the comments.
On another note, In the past, I have not had the difficulty getting pregnant -- it always seemed to be trouble with staying pregnant past 12 weeks...
I did check the bloodwork and the FT4 was 14.5 but I don't see any result for FT3.
I will definitely be asking some questions and really appreciate your input!
You won't get pregnant or won't be able to sustain a pregnancy with high tsh and/or low frees. Also the high prolactin could mean a benign pituitary tumor which could also lead to trouble getting pregnant. Usually high prolactin levels really messes with ovulation. Definitely see an endo or doc that's going to treat you properly. Any tsh above a 2 seems high especially when trying to get pregnant. Good luck!
Just wanted you to be aware that seeing an endo does not guarantee a good thyroid doctor. Many of them specialize in diabetes, not thyroid. In my opinion a good thyroid doctor will treat your symptoms by testing and adjusting the actual, biologically active thyroid hormones (FT3 and FT4) with whatever type meds are required to alleviate symptoms, without being constrained by resultant TSH levels. Symptom relief should be all important, not TSH level. Many members have reported that this requires that FT3 is adjusted into the upper part of its range and FT4 is adjusted to at least the midpoint of its range.
To avoid wasting your time and money, I suggest that you can call about making an appointment and ask to speak to one of the nurses. I have found them to be willing to talk and answer the question of whether the doctor is willing to treat you for your symptoms by testing and adjusting FT3 and FT4 with whatever meds are required to alleviate symptoms, without being constrained by resultant TSH levels. Second question would be if the doctor is willing to prescribe meds other than T4 only. Ifthe answer to either is no, then keep looking.
Thank you for your comments -- strangely enough, the "normal" reference on the bloodwork sheet for TSH shows 0.35 - 4.2 mU/L. She refused to increase the synthroid because of the bloodwork showing "normal". I think it took almost 5 months for my sister to get in to see an endo and strangely enough my GP doc told me to go ahead and try to get pregnant now -- even though I don't feel well.
I think I will get a second opinion and I will push to see the endo as you suggest.
Much appreciated
your tsh is still too high. target is 1.0, particularly you want to get pregnant. ft3 and ft4 should be in upper half of the fererence range.
i'd push to get referred to an endo. make sure you tell him you want to get pregnant. they should be agressive in treating in this case.