Dr. Hugh Melnick evaluates each symptomatic patient with a comprehensive panel of thyroid blood tests in order to determine the type of hypothyroidism which they might have. Patients can be suffering from hypothyroidism even though they have normal levels of thyroid hormones in their blood.
Diagnostic Testing For Hypothyroidism
|– TSH||– Anti-Thyroid Antibodies|
|– Total and Free T3||– Anti-Thyroglobin Antibodies|
|– Total and Free T4||– Prolactin|
|– Reverse T3 (rT3)||– Vitamin B12/Vitamin D3|
Elevated TSH Level
Failure of the thyroid gland itself is diagnosed when the TSH level is elevated.
- Hypothyroidism resulting from autoimmune Thyroiditis (Hashimoto’s) is diagnosed when anti-thyroid antibodies are detected.
- When a patient has low TSH, T3, and T4 – possibly with an elevated prolactin level – the origin indicates Hypothyroidism of a Pituitary or Hypothalamic
- High levels of reverse T3 indicate an adrenal gland issue, which is a result of chronic stress
- When a symptomatic patient has low total T3 and vitamin B 12 levels, subclinical hypothyroidism exists
Thyroflex Nerve Conduction Velocity Testing
One the most significant and characteristic findings in Hypothyroid individuals is their slow deep tendon reflexes. This happens because when there is not enough active Thyroid hormone in the nerve cells, the metabolism of the nerve is reduced, so the conduction of an impulse down a nerve is slower than if the cell’s metabolic function was normal.
This test is a very accurate way to diagnose Hypothyroidism in symptomatic individuals who have all their blood tests in the normal range. The actual speed that the nerve conducts an impulse can be measured accurately by a computer and then the rate can be compared to the nerve transmission speeds in individuals with normal Thyroid function.
Like BBT measurements, the Thyrofex can be used to measure the adequacy of Thyroid treatment. If a patient is taking 60mg of Armour Thyroid and is still symptomatic, yet has normal blood tests, a Thyroflex test that shows slow nerve conduction will tell the Physician that the patient does need an increase in the dose of their medication. The Thyroflex test is an accurate way to insure that a patient is getting the optimal dose of thyroid medication.
Hypothyroidism Therapy Expertise
Dr. Hugh Melnick – founder of Advanced Fertility Services in NYC – is one of the very few fertility doctors offering treatment for subclinical hypothyroidism.
- Pioneering doctor of preserving a woman’s future fertility through the world class Oocyte Preservation Program
- Renowned publisher of numerous scientific research articles in prominent medical journals and medical textbook contributions
- Acclaimed author of The Pregnancy Prescription – a prestigious book written for those coping with the challenges of infertility, including information on how best to overcome infertility
Read the Doctor’s contribution to the American Journal of Obstetrics & Gynecology about subclinical hypothyroidism and its effect on a woman’s fertility.
Dr. Hugh Melnick pays close attention to the diagnosis and treatment of hypothyroidism – a common condition among women suffering from infertility.
It is important to work with a fertility specialist who has the clinical experience to design a therapeutic treatment plan meeting your personal needs.
Your initial consultation to find out if you are a candidate for Subclinical Hypothyroidism Therapy can be conducted with the Doctor via telephone, Skype or FaceTime.
Schedule your initial consultation with Dr. Hugh Melnick at Advanced Fertility Services by calling 212.369.8700 – or – clicking the icon below.