Thanks Ma'am.
The detailed information provided by you had proved to be very helpful to me.
Thanks once again.
It doesn't matter which kind of doctor you get to manage your thyroid issue, as long as they are trained well in thyroid care. Most likely, a OB/GYN won't want to deal with it, because it's not their specialty.
The thyroid is part of the endocrine system, so, typically, we think of endocrinologist as a thyroid specialist, but many endos actually specialize in diabetes, not thyroid. Many primary care physicians are very good at managing thyroid conditions, but you have to find one who will be sure to test and treat adequately, not just one who tests and treats by using only TSH, or who thinks that as long as results are "in the reference range" everything is fine.
You could start with the doctor who ordered the tests you posted above and go from there.
Ok. Which specialist shall I consult for this a Physician, a Gynac or some other?
Your Free T3 is quite low in the range, in both of the tests and your TSH is rising, indicating that you are becoming more hypo.
The high TPOab indicates Hashimoto's Thyroiditis, which is an autoimmune disease, in which the body sees the thyroid as foreign and produces antibodies to destroy it. Hashimoto's is progressive, in that your hormone production decreases as the antibodies destroy healthy thyroid tissue. Looking at your test results, this is what appears to be happening; you're becoming more hypothyroid as time goes on.
Hypothyroidism can affect your menstrual cycle. You should talk to your doctor about starting a thyroid replacement hormone to bring your levels back up.
Best to start off with a very low dose and increase as necessary.
Pls Note
Menstrual Cycles:
>Aug'13- 4 days
>Sept' 13- 4 days
> Oct'13- 2 days
Thanks for your reply Ma'am.
Given below is a detailed description regarding Thyroid Profile and Anti TPO Reports
FIRST REPORT: ( 13 April'13)
> ANTI-THYROID PEROXIDE : 240 IU/mL Reference Range THYROID PROFILE, FREE, SERUM:
- T3, FREE; FT3@ 258 pg/dL Reference Range 230-420
- T4, FREE, FT4 @ 1.2 ng/dL Reference Range 0.8-1.8
- TSH, Ultrasensitive @ 3.04 uIU/mL Reference Range 0.40-5.50
SECOND REPORT: (22 June '13)
> ANTI-THYROID PEROXIDE: 82.10 U/mL Reference Range THYROID PROFILE, FREE, SERUM:
- T3, FREE; FT3@ 2.99 pg/mL Reference Range 2.30-4.20
- T4, FREE, FT4 @ 1.38 pg/mL Refernce Range 0.89-1.76
- TSH, Ultrasensitive @ 4.144 uIU/mL Refernce Range 0.550-4.780
THIRD REPORT: (24 Sept'13)
> ANTI-THYROID PEROXIDE: 87 U/mL Reference RangeSept'13- 4 days.
>Oct'13- 2 days.
QUERY:
> Is thyroid level expected to be controlled?
> Reason for the disturbance in the menstrual cycles? M a Virgin so Is it a cause of worry in future for Pregnancy?
> Kindly suggest me any remedies to over come thyroid
What are the actual results of the TSH, T3 and T4? Are those Free or Total T3/T4? Please post the actual results and be sure to include reference ranges, which vary lab to lab and have to come from your own report. Sometimes labs symptoms can be present before labs become abnormal. Menstrual problems are often a symptom of hypothyroidism.
The elevated TPOab indicates that you have Hashimoto's Thyroiditis. You should also get a Thyroglobulin Antibody (TGab). Both TPOab and TGab are markers for Hashimoto's.