My Thyroid Blog


 

A woman’s infertility could be linked directly to hypothyroidism. She can be suffering from hypothyroidism – a direct cause of her infertility – regardless of normal levels of thyroid hormones in her blood. To accurately diagnose the type of hypothyroidism a patient is suffering from, Dr. Hugh Melnick evaluates a comprehensive panel of thyroid blood tests.

Hypothyroidism and Female Fertility

Thyroid blood tests diagnose certain types of hypothyroidism.

Blood Testing

– 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 pays close attention to the diagnosis and treatment of hypothyroidism – a common condition among women suffering from infertility.

Your initial consultation with the Doctor can be conducted 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.



January 11, 2020 Hypothyroidism Therapy0

Your cost of hypothyroidism therapy will range between $350 and $1155 when you seek diagnostic testing and treatment from Dr. Hugh Melnick – founder of Advanced Fertility Services in NYC. Dr. Melnick is one of the very few fertility doctors offering treatment for subclinical hypothyroidism. Blood tests are not included in the cost of your initial consultation and follow up visits.

Hypothyroidism Consultation and Therapy

Dr. Melnick pays close attention to the diagnosis and treatment of hypothyroidism – a common condition among women suffering from infertility. 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.

  • Initial Consultation = $350
  • Follow Up Visits = $200
  • Blood Tests = $60
  • Thyroid Sonogram = $150
  • Thyroflex Testing = $150

Blood Test Costs and Insurance Coverage

If you have insurance coverage for the cost of blood tests through a certain laboratory – Dr. Melnick will have his staff draw blood and send the sample to the lab participating in your insurance plan. This saves the patient out-of-pocket costs and the inconvenience of a trip to the laboratory.

Thyroid Sonogram Costs and Insurance Coverage

Thyroid sonograms can be performed in Dr. Melnick’s office at a cost of $150, whether covered by the patient’s insurance plan or not. In some situations, to have the cost of this examination covered by insurance, the patient may be required to have it performed in a radiologist’s office participating in their plan. In both instances, the patient will be required to remit a co-pay depending on the coverage terms of their insurance plan.

Subclinical Hypothyroidism Therapy Expertise

Dr. Hugh Melnick – founder of Advanced Fertility Services in NYC – has decades of clinical experience in diagnosing and treating 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.

Schedule your initial consultation with Dr. Hugh Melnick at Advanced Fertility Services by calling 212.369.8700 – or – clicking the icon below.



January 4, 2020 Fertility Health0

Most women don’t know that their annual fertility health check-up must go above and beyond a simple Pap smear. Your annual reproductive exam must include the health of your thyroid. Be proactive with your fertility health in the upcoming New Year to make sure you are not at risk for infertility.

Fertility Health in the New Year

A slightly elevated blood pressure can increase your risk of heart disease. Hypertension is a silent killer because you may not experience any obvious signs or symptoms. You must have your vital signs check yearly – or – more often if you are experiencing discomfort.

  • Blood Pressure
  • Temperature
  • Height
  • Weight
  • BMI

A patient’s Basal Body Temperature (BBT) is an indirect measurement of her body’s metabolism. Metabolism is controlled by the thyroid gland. Having a BBT of less than 97.4 degrees Fahrenheit is diagnostic of hypothyroidism. Patients symptomatic of hypothyroidism are screened with a comprehensive panel of thyroid blood. However, normal blood test results can be found in patients who are quite symptomatic of hypothyroidism.

Comprehensive Diagnostic Testing

Thyroid blood tests diagnose certain types of hypothyroidism. Patients can be suffering from hypothyroidism even though they have normal levels of thyroid hormones in their blood.

– 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

Basal Body Temperature Measurement (BBT)

The thyroid gland controls the metabolism of each and every cell in the human body. If there is not enough active thyroid hormone (T3) getting into cells, the metabolism will be slowed – as reflected by a low BBT. Having a BBT of less than 97.4 degrees Fahrenheit is diagnostic of hypothyroidism. When a hypothyroid individual is adequately treated with thyroid supplemental therapy, the BBT will be over 98.0 degrees Fahrenheit. Not only is the BBT an excellent diagnostic tool, it also is an excellent method for documenting the adequacy of treatment. Improvements in a person’s symptoms correlates very well with the BBT.

Period Regularity

Both heavy and light menstrual cycles are of concern to your fertility.

  • Regular periods?
  • Irregular periods?
  • Cramping?
  • Heavy bleeding?
  • Light bleeding?

These are all concerns to be addressed with your doctor.

Breast and Pelvic Organs Check

Every year – you should undergo a Pap smear to screen-out any potential risk of cervical cancer. Microscopic cells are collected from your cervix during the exam. Your gynecologist also feel-checks your breast and pelvic organs – cervix, uterus, ovaries.

A Healthy Body Mass Index (BMI)

A healthy body weight and diet is essential to increasing your chances of becoming pregnant. Strive to achieve and maintain a healthy body mass index (BMI) to keep your reproductive cycle in balance. A BMI of 19 to 24 indicates a healthy weight. Anything above 24 or below 19 may be hindering your chances of ovulation and conception.

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.



December 26, 2019 Hypothyroidism0

Most women don’t even know they have a thyroid. This powerful little gland can have a great impact your fertility health. Your thyroid gland is a small, butterfly-shaped mass of tissue located in the neck. Despite its small size, it plays a critical role in determining how our fertility functions.

Subclinical Hypothyroidism Expertise

Dr. Hugh Melnick – founder of Advanced Fertility Services in NYC – is one of very few fertility doctors offering treatment for subclinical hypothyroidism. The Doctor plays close attention to the diagnosis and treatment of hypothyroidism – a common condition among women suffering from infertility.

  • 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.

Signs and Symptoms

Below is a list of common symptoms associated with thyroid problems.

  • Mentally “Foggy”
  • Hoarse voice
  • Decreased stamina
  • Fatigue
  • Depression
  • Cold extremities
  • Difficulty losing weight
  • Slow speech
  • Hair loss
  • Premature graying of the hair
  • Low body temperature
  • Cracked heels and dry feet
  • High cholesterol
  • Ringing of the ears
  • Constipation
  • Anxiety and/or palpitations
  • Low pulse
  • Decreased tendon reflexes
  • Droopy eyelids
  • Puffy and swollen face
  • Weight gain
  • Constipation
  • Sparse, coarse, and dry hair
  • Coarse, dry, and thickened skin
  • Carpal tunnel syndrome
  • Hand tingling or pain
  • Slow pulse
  • Muscle cramps
  • Orange-colored soles and palms
  • Sides of eyebrows thin or fall out
  • Confusion
  • Increased menstrual flow in women
  • Infertility
  • Miscarriages

Female Infertility Expertise

It is important to work with a female infertility 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.



December 19, 2019 Female Fertility0

If you are trying to get pregnant during the Holiday Season, traditional foods may not be a wise choice. Did you know? Hypothyroidism is a common condition among women suffering from infertility. There are many healthy fertility-boosting foods for you to choose from during the Holiday Season. These select foods can help improve your ovulation function in time for optimum fertility in the New Year.

Holiday Season Fertility-Boosting Foods

  • Leafy Greens
  • Citrus Fruits
  • Berries
  • Avocados
  • Cheese

Leafy Greens

Dark green, leafy vegetables are one of the best sources of prenatal nutrients like calcium, iron, and folate, so don’t pass over the collard greens on the holiday table. Other great options include spinach, kale and Swiss chard.

Citrus Fruits

Most people are already aware that citrus fruits are a great source of vitamin C, but did you know they are also packed with potassium, calcium and folate–a B vitamin that can help boost your fertility by regulating ovulation and creating a healthy environment for eggs. In addition to other servings of fruits, try to eat at least one serving of citrus each day. If oranges are your thing, try grapefruit, clementines or kiwi. These would be great as part of a light breakfast or snack to help offset that big holiday feast.

Berries

Blueberries, raspberries and cranberries are packed full of natural antioxidants and anti-inflammatory phytonutrients–both of which can aid in female and male fertility. They’re also high in folate, vitamin C and fiber so you should continue eating berries to help with fetal development and maintaining a healthy weight during pregnancy. Just be careful with the added sugar that’s hidden in pies and other holiday desserts.

Avocados

While avocados aren’t a traditional food you’ll find on many tables this holiday season, homemade guacamole makes for a delicious appetizer. And who doesn’t love a good dip? Avocados are a healthy fat with a high concentration of vitamin E, which is proven to help stabilize and protect cells from oxidative damage. This can also be beneficial for women with polycystic ovarian syndrome or diabetes. Avocados are also packed with folate, potassium and vitamin K–which helps your body more effectively absorb the vital nutrients that it needs.

Cheese

We can’t think of a holiday party we’ve ever been to that didn’t include cheese. Look for mature cheeses like cheddar, parmesan or manchego. These are high in polyamines–a naturally occurring protein found in plants, animal products and humans. Mature cheeses, in particular, are high in a specific polyamine called putrescine, which plays an important role in improving both sperm health and egg health.

Other Fertility-Boosting Foods

  • Fatty fish – salmon or tuna
  • Whole grains – quinoa
  • Eggs
  • Nuts – walnuts
  • Plant-based proteins – lentils and beans
  • Full-fat dairy – Greek Yogurt

Foods to Avoid

  • Artificial sweeteners – Stevia
  • Excessive alcohol
  • Low-fat dairy
  • Soda
  • Tumeric
  • Trans Fats
  • High-mercury fish – swordfish, shark, King mackerel

Holiday Season Fertility Diet Tips

  • Low-sodium canned or frozen veggies
  • Herbs and spices instead of salt
  • Lemon juice, citrus zest, or hot chilies for extra flavor and no sodium
  • Canned fruits packed in juice or water – not syrup
  • Non-fat, plain Greek yogurt instead of sour cream
  • Switch from butter to healthy vegetable oils
  • Use half wheat and half white flour
  • Puree sweet potatoes, carrots, or cauliflower and keep in freezer for easy use
  • Instead of alcohol – infuse cranberries, pomegranate arils, or orange slices into sparkling water

Improving Your Fertility

Try the following 10 step approach offering a powerful boost in fertility for women with ovulation-related infertility.

  • Avoid trans fats – no more fried foods
  • Consume more unsaturated vegetable oils – use olive or canola oil and eat fish and avocados
  • Get more protein from vegetables – eat lentils, not steak
  • Eat low carbs – choose whole grains, oatmeal and vegetables and cut out white bread and pasta
  • Drink whole milk – consume full fat yogurt and ice cream in sensible portions
  • Take your essential vitamin supplement – folic acid and vitamin B are essential
  • Get plenty of iron – eat iron rich vegetables like spinach
  • Drink plenty of water – avoid soda, caffeine, alcohol
  • Be active and exercise regularly – but don’t overdo it
  • Get your Body Mass Index into the fertility zone by achieving a score of 19 to 24

Subclinical Hypothyroidism Therapy Expertise

Dr. Hugh Melnick – founder of Advanced Fertility Services in NYC – has decades of clinical experience in diagnosing and treating subclinical hypothyroidism. Read the Doctor’s contribution to the American Journal of Obstetrics & Gynecology about subclinical hypothyroidism and its effect on a woman’s fertility.

  • 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

Schedule your initial consultation with Dr. Hugh Melnick at Advanced Fertility Services by calling 212.369.8700 – or – clicking the icon below.



 

Your cost of hypothyroidism therapy will range between $350 and $1155 when you seek diagnostic testing and treatment from Dr. Hugh Melnick – founder of Advanced Fertility Services in NYC. Dr. Melnick is one of the very few fertility doctors offering treatment for subclinical hypothyroidism. Blood tests are not included in the cost of your initial consultation and follow up visits.

Hypothyroidism Consultation and Therapy

Dr. Melnick pays close attention to the diagnosis and treatment of hypothyroidism – a common condition among women suffering from infertility. 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.

  • Initial Consultation = $350
  • Follow Up Visits = $200
  • Blood Tests = $60
  • Thyroid Sonogram = $150
  • Thyroflex Testing = $150

Blood Test Costs and Insurance Coverage

If you have insurance coverage for the cost of blood tests through a certain laboratory – Dr. Melnick will have his staff draw blood and send the sample to the lab participating in your insurance plan. This saves the patient out-of-pocket costs and the inconvenience of a trip to the laboratory.

Thyroid Sonogram Costs and Insurance Coverage

Thyroid sonograms can be performed in Dr. Melnick’s office at a cost of $150, whether covered by the patient’s insurance plan or not. In some situations, to have the cost of this examination covered by insurance, the patient may be required to have it performed in a radiologist’s office participating in their plan. In both instances, the patient will be required to remit a co-pay depending on the coverage terms of their insurance plan.

Subclinical Hypothyroidism Therapy Expertise

Dr. Hugh Melnick – founder of Advanced Fertility Services in NYC – has decades of clinical experience in diagnosing and treating 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.

Schedule your initial consultation with Dr. Hugh Melnick at Advanced Fertility Services by calling 212.369.8700 – or – clicking the icon below.



December 5, 2019 Hypothyroidism Testing0

A patient’s Basal Body Temperature (BBT) is an indirect measurement of her body’s metabolism. Metabolism is controlled by the thyroid gland. Having a BBT of less than 97.4 degrees Fahrenheit is diagnostic of hypothyroidism. Patients symptomatic of hypothyroidism are screened with a comprehensive panel of thyroid blood. However, normal blood test results can be found in patients who are quite symptomatic of hypothyroidism.

Comprehensive Diagnostic Testing

Thyroid blood tests diagnose certain types of hypothyroidism. Patients can be suffering from hypothyroidism even though they have normal levels of thyroid hormones in their blood.

– 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

Basal Body Temperature Measurement (BBT)

The thyroid gland controls the metabolism of each and every cell in the human body. If there is not enough active thyroid hormone (T3) getting into cells, the metabolism will be slowed – as reflected by a low BBT. Having a BBT of less than 97.4 degrees Fahrenheit is diagnostic of hypothyroidism. When a hypothyroid individual is adequately treated with thyroid supplemental therapy, the BBT will be over 98.0 degrees Fahrenheit. Not only is the BBT an excellent diagnostic tool, it also is an excellent method for documenting the adequacy of treatment. Improvements in a person’s symptoms correlates very well with the BBT.

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.



The thyroid is a small gland located in your neck. Hypothyroidism is diagnosed when you have an underactive thyroid gland. The thyroid creates and releases thyroid stimulating hormone (TSH), thyroxine (T4), and triiodothyronine (T3). The thyroid’s job is to control your body’s metabolism — the process by which your body converts what you eat and drink into energy — through the hormones it releases. There is an evidenced-based link between hypothyroidism and infertility in women.

Hypothyroidism Symptoms

Symptoms of this condition include:

  • Unexplained weight loss
  • Increased appetite
  • Feelings of nervousness and anxiety
  • Difficulty sleeping
  • Increased sweating and heat intolerance
  • Interference with the release of an egg from the ovary – resulting in infertility

Other Signs and Symptoms of Hypothyroidism

  • Mentally “Foggy”
  • Hoarse voice
  • Decreased stamina
  • Fatigue
  • Depression
  • Cold extremities
  • Difficulty losing weight
  • Slow speech
  • Hair loss
  • Premature graying of the hair
  • Low body temperature
  • Cracked heels and dry feet
  • High cholesterol
  • Ringing of the ears
  • Constipation
  • Anxiety and/or palpitations
  • Low pulse
  • Decreased tendon reflexes
  • Droopy eyelids
  • Puffy and swollen face
  • Weight gain
  • Constipation
  • Sparse, coarse, and dry hair
  • Coarse, dry, and thickened skin
  • Carpal tunnel syndrome
  • Hand tingling or pain
  • Slow pulse
  • Muscle cramps
  • Orange-colored soles and palms
  • Sides of eyebrows thin or fall out
  • Confusion
  • Increased menstrual flow in women
  • Infertility
  • Miscarriages

Hypothyroidism Therapy Specialist

Dr. Hugh Melnick – founder of Advanced Fertility Services in NYC – is one of 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.

Hypothyroidism Therapy Expertise

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.



For patients who are not covered by medical insurance – or – do not want to go through their plans, Dr. Melnick’s cost for diagnosis and treatment can be estimated to be between $350 and $1155 – as follows:

  • Initial Consultation = $350
  • Follow Up Visits = $200
  • Blood Tests = $60
  • Thyroid Sonogram = $150
  • Thyroflex Testing = $150

Blood Test Costs and Insurance Coverage

Blood tests are not included in the cost of initial consultations and follow up visits, although they are performed in Dr. Melnick’s endocrinology laboratory. In some cases, the cost of blood testing is covered by insurance. However – if there is no coverage available – blood test costs are approximately $60 through Dr. Melnick’s office.

If the patient has some form of coverage for the cost of blood tests through a certain laboratory – Dr. Melnick will have his staff draw blood and send the sample to the lab participating in your insurance plan. This saves the patient out-of-pocket costs and the inconvenience of a trip to the laboratory.

Thyroid Sonogram Costs and Insurance Coverage

Thyroid sonograms can be performed in Dr. Melnick’s office at a cost of $150, whether covered by the patient’s insurance plan or not. In some situations, to have the cost of this examination covered by insurance, the patient may be required to have it performed in a radiologist’s office participating in their plan. In both instances, the patient will be required to remit a co-pay depending on the coverage terms of their insurance plan.

Thyroflex Testing Cost – No Insurance Coverage

Thyroflex testing costs $150 and is not covered by insurance.

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.



November 15, 2019 Hypothyroidism0

 

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

Blood Testing

– 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.




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Call us

212-369-8700


Visit us anytime

1625 Third Avenue New York, NY


Send us an email

mythyroidnyc@gmail.com




Copyright by www.mythyroidmd.com 2019. All rights reserved.



Copyright by www.mythyroidmd.com 2019. All rights reserved.