Question: Hormonal study found levels of cortisol in the blood of 1050 nmol / L (normal 150-660 nmol / L). Hormones TSH-1, 3 (normal microns 0,23-3,4 mg / ml), T3-1, 6 (normal 1,0-2,8 nmol / L), T4-16, 5 (normal 10.0 -23,2 pmol / l), prolactin-558 (normal 67-726 mIU / l). Was also held thyroid gland. Right proportion increased. 5×2, 5×1, 8 cm, the volume of shares (the method of Brunn) 12. 1 cm cube. In the center right lobe was found node 8×6 mm. Left share increased. 4,7 x2, 1×1, 5 cm, the volume share of 8.4 cm cube. Located in a typical location, the contours of a clear, non-uniform. In conclusion – nodular goiter. In the near future going to have a baby. To this end, a survey. A year ago, was found uterine myoma size of 3 cm Removed using laparoscopy. After surgery there was no deviation. Body recovered completely. Was conducted ultrasound, which showed good performance of the ovaries, without deviations. Q: Can I have a child? And as the deviations in the thyroid gland can affect this process
Answer: 1. The level of cortisol is elevated, but it has a great variability, so there are other methods of investigation (cortisol diurnal incontinence, low deksametazonovaya test) to distinguish normal from non-normal. If symptoms are identified during the inspection endocrinologist allow suspected irregularities in the adrenal gland – Endocrinology assign you the necessary examination (optional – the definition of free cortisol in the daily urine, possibly a blood test for cortisol before and after administration of dexamethasone). But perhaps not appoint – if there are no symptoms. 2. Slightly enlarged thyroid gland (volume of the entire gland – the norm for women – 18 cu. Cm), and against this background there is a node (but less than 1 cm, and therefore has no clinical significance). Increased cancer with normal level of hormones may be associated with iodine deficiency, autoimmune thyroiditis (does not require treatment at a normal level of hormones – cm. FAQ), etc. Discuss with physician diagnosis (for its specification requires knowledge of some other tests – for example, determination of antibodies to the thyroid gland). These states are not a contraindication to pregnancy, but requires correction of iodine deficiency before pregnancy and its background.
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Question: Doctor, I am a little bit better and I eventually began to appear so-called striae, as purple stretch marks on the legs and a little on his chest. Explain why, and please tell me how to get rid of them without pills. Many thanks in advance
Answer: This is possible with obesity, pregnancy and abnormal development of adrenal hormones (disease / Cushing's syndrome). Worth visiting endocrinologist to make the study of adrenal hormones (cortisol, free daily urine). If an excess of adrenal hormones (it requires quite a serious treatment) will be excluded – that your treatment without pills will zaklyuchastsya in the diet (constant) and increasing physical activity – then the weight will come back to normal.
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Question: I am concerned about my high blood pressure, I am 34 years old. All this nachilos month ago, pressure 180-110 almost every day, I was always worried about the pain of kidney from the left and began to receive tsefozolin on 1gr 2raza per day during the week and the pain a little bit like an end but the pressure remains vsokoy all the way from the pressure took po1tab 1 time day tab klofellina and I want to ask is not whether the adrenal tumor from me? Thank you for earlier.
Answer: The rapid development of hypertension with high blood pressure usually occurs during the so-called. symptomatic (non-manifestation of another disease) forms of hypertension. In adrenal tumors, there are many other reasons for the hypertension. Of course, your condition requires a qualitative and rapid survey (optimally – in a hospital or therapeutic cardiological profile) to determine the cause. Perhaps your blood pressure associated with a particular kidney disease.
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Question: From 28 years worries moderate hypertension. The survey found elevated levels of adrenaline and noradrenaline in the blood. In the diagnosis means: "There may be a chronic polienefrit without renal dysfunction. It seems that this is the cause of hypertension." Recommended treatment – in addition to hypotensive drugs – shed 5 pills 3 times a day. Could you give your comments on this situation. Thank you in advance for your reply.
Answer: The level of adrenaline and noradrenaline in the blood – uninformative indicator. To exclude endocrine causes of hypertension associated with excessive elaboration of adrenaline and noradrenaline, the most informative definition of urine Sc. metanefrinov. In your town, this analysis is available. If this figure will be raised – will have to contact an endocrinologist for the survey and the choice of treatment.
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