Question 1

Please go through my report and help me find what problem I am facing. I am taking 37.5 mcg and my TSH was 6.25 last month. This report was done five days after my monthly cycle finished. Is it normal. Why unable to get pregnant. I have been trying for one year and have hypothyroidism for six months?

Question 2

My mother is 60 years old and has been taking Eltroxin 75 mcg for the past two months, as her TSH was 5.00 at that time. Prior to that, she had been taking Eltroxin 50 mcg for the last ten years. She recently had a thyroid test and the results are:
T3: 0.90 ng/mL
T4: 9.30 microgram/dL
TSH: 16.23 mIU/L
I do not understand why her TSH has increased so significantly despite taking her medication regularly. Please advise what steps we should take now.

Question 3

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?

I have full joint pain in my elbows, knees, shoulders, and other joints. At night, I am not able to sleep due to the pain. I feel very tired and sometimes have fever. My RA test report is positive. I also have a thyroid TSH level of 7.54.

Symptoms suggest rheumatoid arthritis and hypothyroidism. See rheumatologist and endocrinologist. Treatment can help manage both.

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