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This is little tricky. If you want to opt for radio active iodine treatment, then you need to wait for 6- 12 months post treatment to plan a child. Also, you have to make sure, that preconception TSH of your wife is normal before planning a child. Or else you can opt for surgery to remove Thyroid gland partly or fully as the case may be & replace the Thyroid dose of required & plan your family.
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Asked for male, 78 years old from Jaipur
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Dharwad
Mr. lybrate-user, thanks for the query.
Usually treatment with anti-thyroid drugs (neomercazole or other drugs) is given for 18 to 24 months. Once the levels return to normal treatment is discontinued. If levels remain with in normal range over a long period (2 to 3 years or so) disease is considered as cured. However, if tsh levels drop again, which means hyperthyroidism has resurfaced, some times antithyroid drug's course may be repeated. Otherwise other means of treatment mainly radio act...more
Usually treatment with anti-thyroid drugs (neomercazole or other drugs) is given for 18 to 24 months. Once the levels return to normal treatment is discontinued. If levels remain with in normal range over a long period (2 to 3 years or so) disease is considered as cured. However, if tsh levels drop again, which means hyperthyroidism has resurfaced, some times antithyroid drug's course may be repeated. Otherwise other means of treatment mainly radio act...more
Asked for female, 27 years old from Panchkula
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Doing repeated mtps will affect your future pregnancy and you might face problems in conceiving. So better use regular contraception like condoms if not planning for pregnancy at present.
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Asked for male, 41 years old from Mumbai
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Mr. lybrate-user I have gone through the history you have provided. It's quiet complicated. You have not mentioned age must be around 70 I guess. Is she having headache or pain in eyes. What is vision with n without glasses. Detail eye checkup is required. Specially rule out cataract, glaucoma. Hyperthyroidism has multiple eye involvement. All needs to be ruled out. In the mean time just use refres tears eye drops 3- 4 times a day. Specific treatment only after physical consultation.
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Asked for Female, 29 years old from Delhi
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Asked for female, 38 years old from Sonipat
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Dharwad
Hello, thanks for the query. The thyroid hormone levels suggest she has hyperthyroidism. So carbamizole needs to be continued. (dosage is not mentioned). Usually that drug needs to be given for 18 months to 24 months. Once tsh levels comes around 3 to 4 mu/l (or normal range) then tablets can be discontinued. In quite a few cases hyperthyroidism is reversed. However, in a few patients it may come back after a few months. That needs to be observed with once is 3 to 6 months check up of thyroid pr...more
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Asked for female, 34 years old from Bangalore
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Hubli-Dharwad
hyperthyroidism before pregnancy means through pregnancy there is antithyroid treatment on. Carbimazole crosses the placental barrier, hence can affect the development of thyroid gland in fetus causing hypothyroidism. So propylthiouracil is preferred as it does not cross the placental barrier. However, there are possible side effects of these drugs affecting the pregnancy. Usually antithyroid drugs are given for 12 to 18 months and stopped. That could be one option when hyperthyroidism is comple...more
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