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Re: Thyroid & PCOS

From: anonymous@obgyn.net
Mon, 2 Sep 2002 20:14:46 -0500 (CDT)

Hi sue,

I have PCOS and hypothryoid and hyperparathyroid.

Thyroid symptoms can contribute to feeling exhausted. However that is not the only possible cause - low iron, electrolyte balance, etc. can also contribute. Are you taking a good multivitamin (this helps for some women). In my case I have low blood calcium without treatment. When my blood calcium is too low (if I accidently or on purpose skip meds for one or two days - I did this initially to prove to myself that I really needed the meds) I also suffer severe fatigue (even though the thyroid is now under control).

Yes, it is important to check TSH, T3 and T4 - at least initially because the ratios between all of these is also important. I also read a while ago that sometimes it can take a while for the TSH to get high in the case of borderline or early problems. One way to test if you have problems is to measure your body temperature every morning before you get up and walk around. If it is low (I will have to check the exact figure for you later - but I think below 37 degree C (normal is 37.6???)) this is indicative of thyroid poblems. Also, do you have enlarged thryoid? Has this been checked. Sometimes T4 can be ok, but T3 (the active component) may be too low - this has a different replacement hormone called cytomel (I think).

If all other causes of fatigue are ruled out (and they should do a full screening) and your doctor is open minded, perhaps he would consider letting you trial low dose thryoid replacement - along with monitoring of your TSH - to see what happens - you can always stop the drug if the TSH goes too low (below 0.5 - 1) - and how you feel. by the way, thryoid meds can take 4 - 6 weeks to start feeling benefits..... that is how long it takes to get a stable dose - and that is why initially they do blood tests every 4 - 6 weeks.

A good site for Thyroid is the site set up by Mary Shomon. I don't know the link, but you could easily find it with a search engine.

At Mon, 2 Sep 2002, Sue wrote: >
>Hi All--
>I know that several of you have PCO and hypothyroidism, and we're just
>starting to explore that possibility for me. I've had PCO since I was
>13 (a looong time ago!) and have been in active tx for it since 1999.
>I'm currently on 30 mg of Actos and 200 mg spiro, but have been
>experiencing extreme exhaustion. I have a 7 mo. old son, and have been
>tired since his birth, but I blamed it initially on getting up in the
>middle of the night to nurse. Then he gave up his middle of the night
>feeding and I blamed it on nursing in general. Now I've weaned him
>completely (for a month now), and I'm still exhausted. I'm thinking
>that something's not right--b/c I'm getting lots of sleep at night (8-9
>hours) and a nap during the day. Everytime my TSH has been tested, it's
>come back normal to low-normal. I've been told by someone with thyroid
>problems to have them test TSH, T3, T4, and thyroid antibodies. Does
>this sound right to those of you who know such things? I just want to
>have more energy than I do. If you could email me privately with
>advice, I'd appreciate it. I know this is off-topic for the board and
>don't want to clog it with stuff not pertinent to PCO.
>
>Thanks in advance for any help you can offer. : )

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