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Post by lynnhopes on Nov 19, 2008 17:04:56 GMT -5
Hi Chris and everyone
I have a friend who was previously diagnosed with hypopituitarism. She had a high TSH and low FSH. She has changed her lifestyle completely, eats low carb and no longer has to take any thyoid meds. However she still battles with infertility. She menstruates very irregularly, sometimes only once every six months.
Are there any websites you can recommend for her? Are there any meds that would help her fertility? Her infertility is the only symptom that she has really.
Any good doctors list?
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Post by lynnhopes on Nov 19, 2008 17:06:34 GMT -5
Hi Lynn, If your friend is Hypopit what Pituitary Hormones was she low in? If her TSH was high obviously she wasnt Hypoipt for Thyroid at least. Therefore she must have been Primary Hypothyroid. Did she have Thyroid Antibodies checked out? AS far as Fertility & Sex Hormones if the FSH & LH were low as well as Sex Hormones/Androgens then she probably has at least some degree of AI. And of course she would be Secondary Hypogonadal as well (low Sex Hormones due to lack of FSH/LH stimulus. No amount of diet changes are going to correct her AI & infertility issues. And until her AI (Cortisol maybe Aldosterone), Sex Hormones, Androgens are all tested & optimised I doubt her infertility issues will be solved. I would think untreated AI would also eventually affect her Thyroid too. What was her Cortisol, Serum ACTH like? Recent Androgens, Sex Hormones, Thyroid test results? Note please copy my post & reply on the new Forum hormonesupportgroup.proboards.com/index.cgiOriginally posted by: Lethal Lee
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Post by lynnhopes on Nov 19, 2008 17:08:18 GMT -5
Hi Lori, Sorry I dont have any info/help on infertility issues. Except to make sure AI,Thyroid and Sex Hormones are optimised. I am aware of several ladies on RTH who are trying to optimise in order to get pregnant. Their names are Bree & Barbie & they are members & post often on RTH Forums. Possibly try posting to them? forums.realthyroidhelp.com/index.phpOriginally posted by:Lethal Lee
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Post by lynnhopes on Nov 20, 2008 13:52:33 GMT -5
Chris
What do you think? Have you heard of anyone overcoming infertility caused by hypopit?
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Post by Chris Jackson on Nov 20, 2008 21:58:23 GMT -5
Yes, I have.
Chris
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Post by fractal on Nov 23, 2008 13:02:37 GMT -5
If you are hypogonad, optimizing hormone replacement will not increase the chances of becoming pregnant. You might menstruate i.e. where you get flow of blood and cellular debris from the uterus but an egg won't be released from the ovaries (ovulation). So, to become pregnant ovulation induction is required and involves stimulating the ovaries with clomiphene citrate or tamoxifen (tablets) or gonadotrophins – r-hFSH and HCG (injection). This treatment can result in multiple pregnancy and/or ovarian hyperstimulation syndrome. About 50% of woman achieve pregnancy, with around a 40% live birth rate. There is much discussion about the use of growth hormone in increasing success rates but no clinical trials have been carried out yet.
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Post by lynnhopes on Nov 24, 2008 16:04:41 GMT -5
So treatment is basically IVF then? Or is there any way to fix one's hormones and then conceive naturally?
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Post by fractal1 on Nov 24, 2008 16:51:30 GMT -5
No - it's nothing like IVF.
LH and FSH, which are produced by the pituitary gland, promote ovulation and stimulate the ovaries to produce estrogen and progesterone. Estrogen and progesterone stimulate the uterus and breasts to prepare for possible fertilization.
Estrogen and progesterone replacement do not increase the ability to become pregnant because ovulation does not occur (i.e. eggs are not released). The only was to conceive is through gonadotrophin injection (or tablet form mentioned) to force egg release. Fertilization occurs when the timing of conception is right ;D
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