27 yr female,secondary infertility 1st child 5 yr old,thyroid function report no previous thyroid diseases,no symptoms of hypothyroidism,mild goiter,no exopthalmos,your comment s

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Dr Prakash .She is a case of 2dary Infertility with borderline hyperthyroidism. Work up for Hsg or Rt or Ssg H_Semen Analysis. Regular follicular study for 3 cycles at least Rule hostile mucous. Correction of sub clinical hyperthyroidism by the Endocrinologist. Rule out galactorrhea & action accordingly.

Get Free T3 n Free T4 done. Anti TPO Antibodies Search for other associated causes of secondary infertility. if planning for pregnancy then PTU is better choice then Carbimazol.

type of heart disease, Nyhd staging, compensated or not, cardiologist opinion must, ASD VSD bed rest iron. moderate tosevere cases admission, diuretics, monitoring byphysicisn and obsmust. other wise referral.

patient is having hyperthyroidism.witch shokud be treated by tab neomerkazole 10 ms tds. thyroid scan shd be done look for d other causes of secondary infertility.get hcg done along with other causes to be ruled out

I think less dose is required
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A case of hyperthyroidism. Cause to be investigated. Get USG thyroid, thyroid scan,thyroglobulin antibodies, TPO antibodies. Option of treatment 1. Cabamizole ot PTU 2. Radioactive iodine 3.thyroidectomy

Advised Neomercazole.

subclinical hypertthyroidism

agree with Dr viral Patel,correct thyrotoxicosis before starting Infertility treatment

PATIENT HAS THYRIOD OPHTHALMOPATHY THYRIOD ORONLEM MAY HABE BEEN THE CAUSE OF SECONDARY INFERTILITY

oc pills, we reduction, pay smear, colposcopy, followup with investigations

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