I'm really worried after getting my wife's TSH test results. Her T3 is 1.15, T4 is 77.2, and TSH is 42.14. But the weird thing is, she doesn't show any obvious symptoms other than having an irregular menstrual cycle a couple of times and sometimes being irritable. I read up a bit online and saw that hypothyroidism usually means the gland is underactive and shrunk, but hers seems inflamed. She hasn't gained or lost weight and isn't experiencing hand tremors, but she does get tired during the day and has had mood swings recently. I'm trying to make sense of this is it definitely thyroid-related even though her T3 and T4 are normal? Could it be thyroiditis or maybe subclinical thyroid issues? I'd really appreciate some guidance on what might be going on, its root cause and if its treatable. Also, is this something urgent? We're in a pretty remote area, so I'm a bit concerned.

Dr Shubham Chauhan

General Practitioner

• MBBS
• 4+ Yrs

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Your wife may be experiencing subclinical hypothyroidism. This means that while her T3 and T4 levels are within normal range, her TSH level is elevated, indicating that her thyroid gland is not producing enough thyroid hormone. The inflammation you mentioned could be indicative of thyroiditis, which is inflammation of the thyroid gland. To treat subclinical hypothyroidism, the common medication prescribed is Levothyroxine with dosage adjustments made based on individual response. It is important to follow up with regular blood tests to monitor thyroid function and adjust the dosage as needed. Given that your wife is experiencing symptoms such as tiredness, mood swings, and irregular menstrual cycles, it is advisable to consult with a healthcare professional for a proper evaluation and treatment plan. While it may not be an emergency, addressing thyroid issues is important for overall health and well-being.

Answered 04/07/2025