After Thyroid Surgery?

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The first one, I want to ask, my mother has had thyroid surgery. Where Tyorid, which is approximately 20 cm in size, was removed on May 21, 2018. Only after that, the TSH value continued to be small, namely = 0.0003. My mother likes to experience the nyutane from the surgical incision on her neck. sometimes she was very weak and sometimes her head hurt so badly. The question is, will a very small TSH value below the normal threshold be dangerous for my mother’s life? is it possible that the TSH value can be returned to the normal limit area and with the consumption of what drugs?

1 Answer:

Hello Andrew,

TSH or Thyroid Stimulating Hormone is a hormone produced by the pituitary gland in the brain. TSH is in charge of stimulating the work of the thyroid gland to produce thyroid hormones. If the thyroid hormone in the blood is low, more TSH will be produced to increase the work of the thyroid gland, and vice versa. If a person has undergone a Total Thyroidectomy (removal of the entire thyroid gland from right to left), thyroid hormone production will decrease. Some of the conditions that can be caused after thyroid surgery are:

Hypothyroidism, a condition that lacks thyroid hormones. Can give complaints of weakness, fatigue, can not stand the cold, gain weight, and so on. Hypocalcemia, lack of calcium levels in the blood. Resulted in the removal of the parathyroid glands during surgery. This happens quite often. Complaints that are experienced include cramps, twitching in the muscles, brittle nails, coarse hair, tightness, and so on. Operation wound bleeding. Accompanied by pain, difficulty breathing, weakness. Hoarseness, due to injury to the laryngeus nerve

Low TSH levels in the body can be caused by several things:

Take medications that contain thyroid hormone, usually given by a doctor to provide adequate thyroid hormone levels after total removal of the thyroid gland. Malignancy of the pituitary gland which suppresses the production of the TSH hormone.

Normal TSH levels are expected to be between 0.3 - 4.0 mU / L, but in some people the levels are reduced to below 0.1 mU / L. You can consult further with a specialist in internal medicine - endocrine if indeed the complaints experienced by your mother persist and interfere with activities.

For the second question,

Infertility is defined as the inability of a married couple to get pregnant after having regular sexual intercourse for at least one year without using contraceptives. The causes of infertility can be due to sperm dysfunction, ovulation failure, damage to the fallopian tubes, inappropriate viscosity of cervical fluid, infection of the reproductive organs, and there are also unknown causes. The cause of infertility can be identified from examinations performed on both men and women. The examination carried out on you and your wife is appropriate, if everything is normal it is best to consult again with an obstetrician. There are several alternatives that are usually offered besides counseling, for example by in vitro fertilization / IVF.

Some of the things you can do at home to get pregnant are as follows:

Routine sexual intercourse every 2-3 days. Some doctors recommend propping up the buttocks after sex and lying down after your husband ejaculates so that sperm can enter the uterus more easily. Quit smoking and drinking alcoholic beverages. Maintain an ideal body weight Avoiding drug use without doctor's recommendation Keep trying and praying

So many explanations from me, hopefully answering your questions.

Dr. Saphira Evani

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