Question 1

Hi, recently I got my thyroid test done and found that my TSH is 6.031, T4 is 1.16, and Anti TPO is 81.60. I feel tired and sleepy all day long and am not able to concentrate because of this. I am also finding a lot of difficulty in losing weight, even after dieting and working out in the gym for long hours. I have been taking 50 mg tablet of Thyronorm daily. Kindly advise what I should do. Is my report okay or is there something wrong? What should I do to feel energetic again?

Question 2

This is my routine blood test report, which I take every 3 to 6 months to check my thyroid. Last time, the doctor advised me to take Thyronorm 75 mg tablet, which I completed yesterday. I have now gone for my checkup. I just want to know whether I have to continue the same medicine or not. My reports are attached above.

Question 3

I was diagnosed with geographic tongue in July 2019. My Vitamin B12 was low, and I took medicines for that, but the geographic tongue did not go away. I also had burning while urinating, which was diagnosed as chronic prostatitis, and I was given multiple courses of antibiotics. Currently, I am facing skin itching that was diagnosed as chronic urticaria. I do not get hives; the skin just turns red and then becomes normal after some time. I was advised to take Levosiz 5 mg, which relieves the itching for 2 to 3 days, but the problem comes back, so I need to take the medicine repeatedly. Recently, I was advised to get my thyroid profile checked. My T3 and T4 are normal, but TSH is 22.46. My HbA1c is 6.2, ESR is 7, TLC is 5.21, and RBC is 5.30. I started thyroxine 50 mg two weeks ago. My age is 36 and my weight is 93 kg. Could you please suggest what should be done next, and which specialist I should consult?

I am experiencing pain during sexual intercourse. I have been tested for infections and had blood tests, but everything came back normal. What could be causing this, and what should I do next?

Pain during sex may be due to vaginal dryness, stress, or tight pelvic muscles. Rule out hormonal causes like low estrogen or thyroid imbalance. Use water based lubricants during intercourse. See a gynecologist for a Pelvic Ultrasound and physical exam. If needed, consult a pelvic floor therapist.

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