Question 1

I am 28 years old. Over the past few months, I have been losing weight steadily, and my skin has become darker. I also have minor sinus issues but no major medical conditions. My parents both have diabetes, so I recently got tested, but my blood sugar levels were normal. I work in IT with a stressful night shift schedule. Please suggest how I can gain weight and maintain healthy skin. I have never had any skin allergies in the past.

Question 2

We have been trying to conceive for the past 2 years, and both my wife and I feel very stressed and emotional about it. Below are our medical details:
My report: Semen analysis is generally good: 66 percent normal sperms, liquefaction time 20 minutes, and very good volume and motility. I initially experienced quick ejaculation (less than a minute). After consulting a doctor and undergoing Doppler and transrectal scans, it was confirmed that I do not have premature ejaculation. My semen seems very liquid, which I feel may contribute to the quick ejaculation. Could this affect fertility?
My wife report: She has thyroid issues, initially 10 mIU/L two years ago, now 4.5 mIU/L after taking 75 mcg Thyronorm. Her menstrual cycle is 25 days, lasting 2 days, one day normal flow, one day light. Her doctor suggested a complete abdominal study. Ultrasound revealed two right paraovarian cysts of 6 cm each.
We both also have leucoderma and low vitamin D levels. Could you please advise on the next steps to improve our chances of conception and manage these health issues?

Question 3

My wife has been suffering from hypothyroidism for the past two months. Her TSH increased after taking medication for a month (50 mcg Eltroxine). The doctor has suggested increasing the dosage to 100 mcg for two months before doing another blood test. She has also been advised to follow a low glycemic diet. I want to get a second opinion?

During my pregnancy, I had thyroid issues. Yesterday, I had a thyroid test done, and I have attached the report. Could you please advise whether I need to take medication, and if so, what dose would be appropriate?

If your TSH or T3/T4 levels are abnormal, you may need medication. Please consult your doctor with exact values to adjust the dose.

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