YOUNG-WOMEN Messages for September, 2002: Re: Daughter's annovulation and TSH level

Re: Daughter's annovulation and TSH level

From: Samir Fouad Aziz MD (anonymous@obgyn.net)
Mon, 23 Sep 2002 09:00:18 -0500 (CDT)

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At Mon, 23 Sep 2002, Anna wrote: >
>My 14.5 yr old daughter hasn't gotten her period, though she looks
>physically ready.
>
>She takes depakote for a mood disorder, has been on it for 1.5 yrs.
>
>Recently my daughter had a well check the Dr ordered among other things
>a TSH and a T4 total. The T4 total came back within range and the TSH
>came back out of range 6.07. The Dr said this could be why she doesn't
>have her period yet, and also that it could be contributing to her mood
>disorder. Her last TSH check was 1.5 yrs ago and that was at 4.11..I am
>now finding out the least we should have been doing is watching that TSH
># for the past 1.5 yrs...
>My questions would be CAN Depakote cause annovulation even though you
>haven't started menstruating yet can it effect your TSH level. CAN
>Hypothyroidism cause you NOT to get your period even when you haven't
>started it yet?
>
>The psychiatrist is telling us NOT to treat the TSH until it hits 10 and
>even then maybe not, she said that true hypothyroidism isn't Dx'd until
>your TSH hits around 40. She also said that most pediatricians will not
>treat such a low TSH but an endocrinologist would. When my daughter's
>Dr called with the first results she said this was easily treated, but
>we needed to do a few more tests to see if the TSH was consistantly high
>and she wanted an antibody test. We did that last week and the Dr
>should be calling today with those results.
>
>My daughter has the following symptoms of hypothyroidism: she feels cold
>when it's hot out, her hair is brittle and she was dx'd with a mood
>disorder.
>
>Any help would be appreciated.

Although your daughter seems to suffer from hypothyroidism it is better to test FSH,LH and estradiol.Hypothyroidism can causes anovulation and delay the appearance of period

-- Samir Aziz MD Asist.Professor Ob.Gyn Director Gyn.Oncology Al-Azhar University-Egypt Editorial Advisor Obgyn.net(P&B,gyn.Oncology)

This is for educational purposes only.

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