Answer: 1. Appointment of L-thyroxine with normal TSH (reflected in the lack or excess of thyroid hormones) does not make sense. 2. With respect to adenoma: the suspicion does not mean the presence, so if there is no evidence – should not give it much attention. Adenoma could affect your medical condition, highlighting or other hormones (most often – prolactin), but their levels are normal, and many diseases can be seen on the clinical manifestations of inspection endocrinologist – apparently expressed no change, so the diagnosis of some serious endocrine disease you do not call. 3. The main thing – the regularity of the menstrual cycle. Scanty allocation can be and are normal, and attribute some of the changes in the ovaries (those can be judged from the Basal body temperature), but not always such a situation requires active medical intervention in the hormonal system. At least, the cause of overweight violations of the ovaries are not (although, conversely, may be the result of excess weight). More specifically at a distance to judge very difficult: (

Answer: The level of prolactin, a variation in, so the identification of "accident" of his symptoms without increasing its surplus (irregular cycle, the allocation of colostrum from the teats) has no clinical significance and does not require treatment (I think it was a FAQ on this topic ). Standards of prolactin usually given for 1 st phase of the cycle (when and is usually determined by the level of sex hormones), in phase 2 of its normal level above.

Answer: Irregularities thyroid less than 1 cm (as you) have no clinical significance and require no treatment. Nothing else to do, suspect cancer or other tumors – also. In general, the thyroid gland is recommended to target only in the presence of palpable thyroid nodules (or deviation from the normal level of hormones). "Preventive" Ultrasound and leads to the fact that in healthy people appear findings, which are frightening, but do not require treatment.

Answer: absent treatment assign impossible. Look in the FAQ on the thyroid gland of subclinical hypothyroidism and pregnancy with an antibody to the thyroid gland. In brief: the identified changes do not require immediate treatment from ordinary people, but can disrupt the course of pregnancy. Therefore, an endocrinologist actually assign you (or have already appointed?) L-thyroxine to normalize hormone levels (in 1. 5.2 months re-hormone analysis will assess whether the effect is achieved), and immediately after the normalization of hormone levels may be pregnant. After birth, under the supervision of an endocrinologist possible trial of thyroxine cancellation: if the iron will to deal with the allocation of hormones, their reception is not a permanent need.

Answer: Excess cortisol can be expressed and requiring treatment (disease or Cushing's syndrome), and may be insignificant (indeed, usually – on a background of excess weight). In the second case it is treated in the main weight loss (when it is abundant) and does not pose a great danger. See FAQ "Kortiozl slightly raised" in the "Diseases of the adrenals. If there are other manifestations of the disease or Cushing's syndrome (irregular menstrual cycles, excessive hair growth on the skin, high blood pressure) – is going to be examined in any large institution (St. Petersburg or Moscow) – maybe your lab incorrectly identified cortisol, and actually it is higher (but in general, more informative its level in the urine). If these diseases are excluded – to actively pursue treatment should not be (just to ensure that there is no excess weight), striae eventually pale, perhaps they can be removed by methods of Cosmetology in the future.

Answer: The thyroid gland is not to blame, because her hormones – are normal. With regard to high temperatures – as requiring treatment of the cause, apparently, are excluded in the survey with a general practitioner or hospital therapeutic department (if such it was) – it is advisable for about 6 months to stop the measurement of temperature. It is also possible that it is – version of the rules for you. Hair loss may be associated with a deficit of thyroid hormones (which you do not), with an excessive effect on the skin of male hormones (androgens), as well as with non-hormonal causes. To exclude the aforementioned can turn to a gynecologist, endocrinologist and a dermatologist, dealing with hair (trichologist), but may be useful as a pause in the survey at a number of art months – may stop the problem themselves. Keep in mind that hair loss is considered non-standard, if the drops more than 100 units per day.

Answer: In the second half of pregnancy reduce borderline FREE. T4 with normal TSH is normal. Most likely, your endocrinologist, too, thinks so, and that no additional treatment will not be assigned (yodomarin – go on, but it does not affect the level of hormones in this situation).

Answer: That's true. Enalapril belongs to a group of drugs (so-called ACE inhibitors), which are (along with the maintenance of normal glucose levels), the primary means of retarding progression of diabetic kidney damage. Their reception in this case should be permanent. However, when the SD type 1 renal damage in year 1, the disease is rare (though possible). Probably, the reason for such an appointment was one of two situations: 1. In the analysis of urine showed signs of diabetic kidney damage (protein in the overall analysis of micro-or protein (microalbuminuria) in the absence of other diseases that cause protein in urine. However, the detection of microalbuminuria, this finding must be confirmed in a reanalysis of the day. 2. Do you have hypertension (even slightly). It is proved that the LEDs to maintain blood pressure above 130/80 is not always plays a big role in protecting the kidneys (and other organs). When enalapril was appointed at the microalbuminuria – 6 months in the absence of its characteristics in the urine, your doctor may cancel this drug.

Answer: Maybe because the level of sugar depends on diet, physical activity, but a man with a diagnosis of Diabetes Mellitus "- and from treatment and the degree of compliance with diet (which usually varies on different days) . In general, any human sugar changes all the time, it is not a constant parameter (as, say, growth).

Answer: When scanning intravenous radioactive isotope, which is actively captured by the thyroid gland, and then made "picture" Cancer special gamma camera. It is not harmful and is not dangerous, because the isotope introduced is small, and radiation load on the organism is comparable to X-rays or computed tomography. In some cases, scanning provides information that can not provide other methods – for example, synthesizes a host of thyroid hormones and in what quantities. However, the question of scanning is decided on the main results of other studies (hormones, ultrasound) – ie, with a survey scan of the thyroid gland does not begin.