Concluded Case

Hypothyroidism with PCOS

Lady aged 20 yrs complaining of PCOS since 3 yrs,she is over weight (71 kgs), hypothyroid pt already on thyronorm 12.5 mg od. She was given full course of metformin, cibtin 0.25 and Ginette 35 of for 6 months without much relief as soon as the medicine are stopped periods are stopping totally. Her report are attached please help with the treatment Prolactin levels as on 13.9.2019 was 67.09. TSH as on 25/2/2020 is 4.44 @Dr. Nisha Bhargava mam

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At age of 20yrs she is 70 kg First she has to change her lifestyle she should try to loose wt by diet control and exercise Prolactin is high should be started on tab cabergolin .25mg weekly repeat prolactin levels Continue with thromboembolism met form in and oral contraceptives.
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At age of 20yrs she is 70 kg First she has to change her lifestyle she should try to loose wt by diet control and exercise Prolactin is high should be started on tab cabergolin .25mg weekly repeat prolactin levels Continue with thromboembolism met form in and oral contraceptives.
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Hypothyroidism requires attention and dosage to be revised Metformin to continue with exercises and walk regularly to reduce the weight. Clomiphene 50mg to be given daily from 5th day of menses for 5days. Alternatively inj HCG can be given
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Go for further hormonal investigations.. * Anti TPO. * S.AMH. * S.Progesterone. * S.Testesterone. * S.Fasting Insuline. *S.LH. * S.FSH. Proceed accordi v to tge result acter consulting Endocrinologist.
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Ask to reduce weight, start Tab pristal 5mg one daily for six months, and rest continue all as she is taking
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Young pt wth obesity causing all the health isshu Hypothyroidism ,increased prolactin ,bulky ovaries So first weightloss under dietician wth exercise Dose of thyronorm up to 25mg Prolactin inhibitors cebergolin should be started Dronies21 afer widrowal for 5month Metformin should not give for long term Instead improv diet habit.
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PCOD Hypothyroidism Suggest. Diet control. Weight reduce. Exercise daily. Suggest. TFT. PTH Rx. Tab. Thyronorm as per report. Syp. Evacare forte. 10 ml. Bd for 3 month
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Suggest Increase thyroxine to 25 mcg Concentrate on weight loss by diet and exercise . Oral contraceptive pills for 3 cycles and observe
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PCOS Start from deepan pachan with liver tonik and kaanchnar kashay
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U May decide about I V F
Thanks for answer sir, but she is not married yet.
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