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I have an under-active thyroid and take between 125-150 mcg of Thyroxin (my blood levels have fluctuatedthis year). For the past 14 months I have been trying to get pregnant without much luck. Previously I had been told my thyroid may affect getting pregnant but when I recently saw a new doctor she said it wouldn’t have any affect at all. I know there are many reasons women don’t get pregnant but can my thyroid have an affect? Jill, Cardiff
Too little thyroid hormone may be produced either because the gland itself is under active, or as a secondary result of trouble with the hypothalamic / pituitary axis resulting in too little of the hormone TSH produced by the pituitary but controlling thyroid function.
Certainly in younger women who have hypothyroidism, too little thyroxine hormone, especially if it is secondary to pituitary troubles, it is very likely that the woman will not be ovulating and will either have no periods or very scant ones. The other two common results of hypothyroidism on gynaecological troubles are infertility and sometimes leaking breasts. Breasts leak because of an increase in the amount of prolactin hormone produced by the pituitary gland.
Now that your thyroid problems have been corrected, and your periods are presumably normal, it would be well worthwhile having the standard tests done to assess fertility. These should include the level of the hormone FSH (follicle stimulating hormone) produced by the pituitary on the third day of the patient's cycle, together with two other more recently introduced tests the Inhibin B test and the AMH, (the anti-Mullerian hormone test). Both give a good indication how likely it is that the ovary of a woman in her thirties will be producing eggs fit to be fertilised. Naturally it is usual to assess the woman's oestrogen levels throughout her cycle as well.
Is is safe for someone wiht an underactive thyroid (corrected with thyroxine) to eat foods rich in iodine, such as seaweeds or iodised salt?Evelyn, Mill Hill, London
Yes. the idea of taking thyroxine is that once a patient does so they should be able to behave, eat and live just like everyone else.
I use to suffer nosebleed as a child, which stopped after treatment, then started again when I became pregnant with my daughter. Again stopped for quite a while but have since been having bouts of it, quite severe at times. Could this be related to my thyroid problem? Name and address withheld.
You haven't told us what your thyroid problem is. Patients with too little thyroid tend to become anaemic, but the type of anaemia of hypothyroidism shouldn't be related to nose bleeds. People with too much thyroxine, because the thyroid is over-active, may suffer from high blood pressure and paradoxically dilated peripheral arteries. An over-active thyroid might therefore be associated with an increased tendency to have nose bleeds but there are many more obvious signs of this condition. I wouldn't have thought there was any association between the recent thyroid troubles and nose bleeds of your childhood.
I should discuss your nose bleeds with your doctor. They can be a nuisance in pregnancy and, if they are, the appropriate blood vessel in the nose can be cauterised.
After receiving blood tests a month ago the results have shown possible menopause and marginally low thyroid results. I am 44 years old and up to now have led a very active relatively healthy life but of late have had mild flushes, aching joints and missed periods, quite tired and poor concentration and memory. I am to have more thyroid blood tests in two months to apparently check wether this was a blip or a trend! I was prescribed very low dose HRT patches but on reading the leaflet that accompanied them have since sought alternative treatment.
Here's the problem. After typing in thyroid into Google and visiting many sites posted there, the jury seems to be out on the effectiveness of alternative medicine on the thyroid. Some of the sites state that it is the only way to treat an underactive thyroid but at only 44 I don't wish to take this forever. P. L. Sullivan, Lancashire
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i am a 62 year old woman who is experiencing hot flushes especially at night, my doctor will not prescribe HRT I was on it till I was 55 as I had a hysterectomy at 44 this last year I have been so uncomfortable at night especially in bed I tried alternative medicine to no avail can you help?
alison sproule, port glasgow, inverclyde
i am a 46 yr old male reasant this year after 4 yrs blood tests was diagnosed april 07 with pressure on the forehead which since sept 07 was a small dose thyroxin and as of today now subscribe full dose this problem is on the pituary gland to my forehead i suffer with short term memory loss and affects my work also caused me high blood pressure does this affect most people
chris vernall, crewe, uk
HI I AM A 35 YEAR OLD FEMALE WITH AN OVERACTIVE THYROID. ABOUT 4 YEARS AGO I WAS GIVEN RADIO ACTIVE IODIENE WHICH HAS COMPLETELY MESSED MY THYROID UP. I AM CURRENTLY ON 400MG OF THYROXINE A DAY AND HAVE BEEN FOR ALMOST A YEAR. (YES YOU READ RIGHT 400MG A DAY) AND IT STILL ISN'T WORKING. i AM ALSO HAVING TO GO THROUGH IVF AS I HAVE SEVERE ENDOMETRIOSIS AND AM WORRIED ABOUT WHAT WILL OR WONT HAPPEN IF I MANAGE TO BECOME PREGNANT WITH THE IVF. Please can you help.
wendy halliday, aberdeen, scotland
penis dysmorphobia? not me then! I have a small penis, but I love it when compared to bigger ones by girls, size queens, oh we are all freaks when it comes to sex, internet to blame??? sexual fantasies are a persons most hidden secrets!
Adam Webb, MK, UK
I cannot understand how women, just because they had a good birth experience at home can criticise hospital births. Forty years ago I had a son in hospital and was made to deliver on my back with feet in stirrups! We were both fine but a friend of that period had a difficult birth at home. I felt glad I had mine in hospital. My second delivery was still in hospital but the birth was so easy it could have happened at home. When I became pregnant for the 3rd time I had to almost beg to go into hosital. Thanks goodness I needed a lot of help and care afterwards. My point being - we can never predict how well a delivery may be. Please ladies forget about how wonderful you want the experience to be and concentrate on a safe healthy baby and a "rest" afterwards.
fran of norwich, norwich, norfolk
Re: Aspirin and flying. Some experts suggest that, as aspirin acts mainly on the arterial system and blood clots form in the veins, aspirin has no part in the prevention of clots.
Vivian, Hvar Island, Croatia
...another argument implying that childbirth is a disaster waiting to happen and is only safe in retrospect.
Can someone in the media please do some research on the training of midwives (and the ongoing training once qualified)? It is mandatory that midwives train in neonatal resuscitation techniques every year, and are also trained to deal with most obstetric emergencies (be it at home, on the bus, in a yurt, or up a mountain). Midwives support and promote the normality of birth, but equally are also trained to recognize the parameters of normality so that when a deviation is seen, appropriate help is sought: and that includes transfer to hospital if attending a homebirth.
Planning for a home birth is not final and binding and not forced on women (despite what the media would have us think). Midwives offer 'informed choice': pros and cons (based on extensive research) are discussed and the woman makes up her own mind. Something the medics often fail to consider...
Hacked off student midwife, London,
With modern forensic, post-natal techniques paediatric neurologists can tell by acidosis in the cord blood precisely how minutes of oxygen deprivation a baby suffered during a delayed birth and how much additional brain-damage each successive minute caused. So, at least if something does go wrong during a home birth it should be possible to discover afterwards whether being 5 minutes away from emergency intervention or 15 would have made much of a difference. Not much comfort to the new mother of a disabled child of course, but it might reassure her that the home birth was not necessarily an enormous factor in her child's lifelong impairment as 5 minutes might have meant her child would someday walk and talk and 15 that they would do one or the other but not both. Imagine what it must be like for a healthy, full-term baby struggling to be born and to breathe with its cord failing but stuck helpless inside its mother. This is real life and its a life-sentence for parent and child.
Michelle, Chislehurst, UK
Hi as a midwife currently providing a homebirth service then the importance that should be placed on a womans instincts can not be underestimated. Midwifery practice is evidence based but also works "with woman" to ensure that where possible the pregnancy experience meets her wishes and expectations. In the case of homebirth I have looked after many women who "safely" deliver at home but conversely have transferred women into hospital due to them not feeling happy at home or complications arising (as can happen in hospital labour). It is unusual for complications to arise out of the blue and with watchful, competent midwives any problems can be pre-empted and acted on. It is also important as midwives that we listen to women as they are most aware of what is happening to their bodies. In this current climate it is important that womens choice is valued and supported where possible. For appropriately assessed women with straight forward pregnancies home birthshould always be an option.
Lucy , East Anglia,
With Dr Stuttafords response to Margaret in London, all is made clear: agree with him, and receive a pat on the back as a good girl. Disagree, and receive a reply that is patronising or verging on the rude reply. Little woman, know your place, and do as doctor tells you.
Incidentally, I was born in hospital in the mid-seventies to a mother of thirty, my younger sisters at home a few years later. Re. the long-term study Dr Stuttaford suggests, of the three of us only I have ever been hospitalised, and otherwise we are all healthy, intelligent, and and productive members of society. It's hardly a proper study, but it's just as good evidence as "I had to have a forceps delivery, thank goodness I was in hosptial", when hospitalized brith itself increases the likelihood in a low-risk birth of a forceps delivery.
Catherine, Oxford,
I suffered from severe joint pain and extremely painful feet for two years at the start of my menopause. I was referred to Arthritis Clinic which took around 9 months before being seen there (leaving me to suffer and deal with the side-effects of medication which did little if anything to help), until I read of an old remedy of two capfuls of cider vinegar added to cup of boiled hot water with two teaspoons of Manuka honey to taste. Take this twice to three times a day. Its not a cuppa you would want to take time over drinking, but a small cup of this taken as above over a period of three months, resulted in very little joint pain now and pain free feet for the first time in two years. The joy of walking now is something I never take for granted.
Try sea kelp supplements to help thicken hair.
Isovon (Soy Isoflavones) may be worth trying also.
I empathise with all you are experiencing but good luck.
Sylvia, Glasgow, Scotland
..I have been losing hair from fringe and temple area very slowly over last 2/3 years and deduct that it is probably male pattern baldness resulting from falling oestrogen levels.As I have an extremley high hairline anyway and have always used fringe to soften severe look it is very de
pressing to think that by the time my menopause is over I could lose a lot more(as Idid after birth of my 2 children).I'm 50,eat lots of fruit,veg,soya ,pulses and even red meat I have had negative tests for underactive thyroid ,anaemia and abnormal testosterone levels I.have taken all sorts of supplements to no avail and would willingly take H.R.T. if this slowed down hair loss.Is there really nothing I can do?My French GP won't even do a hormone test until I have been period free for at least 6 months,despite extreme fatigue,joint pain,bad temper and memory problems.
Thomas Julie, Le Mans, France