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Thyroid, PCOD and fertility
Hello Dr., My recent reports showed: TSH 10.08 µIU/mL (now 1.8 after 2 months on 75 mcg thyroxine), Total T3 1.29 ng/mL, Total T4 8.58 µg/dL, Free T3 3.68 pg/mL, Free T4 1.08 ng/dL, and Anti-TPO 353.3 IU/mL. Vitamin D is 50.5 ng/mL, B12 is 1210 pg/mL, Ferritin is 19.3 ng/mL, CRP is 6.9 mg/L and hs-CRP is 4.71 mg/L. I also have PCOD with irregular cycles and bulky ovaries. We have been trying to conceive naturally for one year and my husband’s semen profile is normal. I follow a healthy lifestyle and exercise regularly, but my cycles remain irregular. I would like guidance on lowering Anti-TPO antibodies, improving ovulation, and increasing the chances of natural conception. Is spontaneous pregnancy possible for me, and what treatment or steps should I take for thyroid health, PCOD, and fertility? What treatment, Supplements should I take to lower antibodies, thyroid and PCOD? Also, does high Anti-TPO increase miscarriage risk even if TSH is controlled?
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Yes go for it... Please start syp. Ashokaristh Tab. Kanchanar google Tab. Sooth shekar
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try to convince getting yoga after Milan for natural pregnancy
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please feel free to contact me
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Good you both consulted togetherly shares oneness same way now plan fitness not just health
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cut down ur milk n it's products use just pop rice /corn as dinner for next 7days then consult ur ayurvedic Dr
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Consult personally for better treatment
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I am sure you are way to motivated to create health, however,  you are focusing on the wrong things. Your main goal is to bring a new life into this world, and you should focus on that. How you can achieve this goal? By first creating health for yourself. The best tool for that is to follow HAIP DIET which is based on the anti inflammatory principles of ayurveda designed to create health. Since you have a bigger goal , i would advise you to seek consultation, as a guided consultation will be far superior than walking alone in this journey. I donot need to emphasize on the importance of this goal to you, so, dont let yourself think about the expense  as you are educated enough to be able to afford a wise spend on creating health, as a healthy body and mind is the only way you can turn your dreams into reality. 
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Try to control your thyroid,
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have proper diet home cook food, avoidspicyfood sour fermented processed oilyhotfood nonveg sugar fried food, avoid stress, drink cumin coriander saunf,mettwater,addhaldi,ginger in diet.try to control your wt.
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do yoga pranayam meditation exercise regularly try to regulate your ovulation cycle.
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Your reports show that your thyroid is now well-controlled with thyroxine (TSH 1.8). However, your Anti-TPO antibodies are high, which means your thyroid issue is autoimmune (Hashimoto’s). This can affect ovulation and fertility, especially when combined with PCOD, low ferritin (iron stores), and raised inflammatory markers (CRP/hs-CRP). The good news is: many women with your profile conceive naturally once thyroid, inflammation, and PCOD are managed properly.
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1. Thyroid & Anti-TPO • Continue your current thyroxine dose and recheck TSH every 6–8 weeks. • Anti-TPO can’t be brought to zero, but it can reduce with lifestyle and supplements. • Include: – Selenium 100–200 mcg/day (helps reduce TPO antibodies) – Omega-3 fatty acids (lowers inflammation, supports hormones) – Vitamin D is already good; maintain at 50–60 ng/mL 2. PCOD & Irregular Cycles • Maintain regular exercise (45–60 min/day). • Follow a low-glycemic diet (avoid sugar, refined carbs). • Add Myo-inositol + D-Chiro inositol (2 g + 50 mg twice daily) – improves ovulation. 3. Low Ferritin (19 ng/mL) • This is too low for conception. Ideal ferritin for fertility = 40–70. • Start gentle iron supplementation and iron-rich foods. Correcting iron significantly helps cycles. 4. Inflammation (CRP high) • Increase turmeric (curcumin), omega-3, ginger. • Avoid processed foods and minimize dairy if it causes bloating. 5. Fertility • Once thyroid and ferritin stabilize, and cycles improve, natural conception chances are good. • Track ovulation using LH strips or ultrasound follicular monitoring for 2–3 cycles. 6. Miscarriage Risk • High Anti-TPO can increase miscarriage risk only if thyroid is uncontrolled. • You have TSH under control now, so risk is reduced. Continue monitoring.
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• Recheck thyroid profile + Anti-TPO every 3–4 months. • Aim for TSH between 1–2.5 when trying to conceive. • Do not stop thyroxine during pregnancy; doses often need adjustment. • If cycles remain irregular even after 3 months, consider ultrasound-based ovulation tracking with your doctor.
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Namaste 🌿 You’ve shared your details very clearly, and that helps in assessing your case better. Let me summarize and give you a fully integrated plan. --- ## 📍 **Case Summary** * **Age:** 32 yrs, trying to conceive for 1 year naturally * **Hypothyroidism (likely autoimmune – Hashimoto)** * TSH was 10.08 → now 1.8 after 75 mcg Thyroxine * **Anti-TPO 353.3 IU/mL → High (autoimmune activity)** * **PCOD with irregular cycles & bulky ovaries** * **Ferritin 19.3 ng/mL → LOW (affects ovulation & thyroid)** * **hs-CRP 4.71 → inflammation** * **CRP 6.9 → mild chronic inflammation** * **Vitamin D 50 → good** * **Vit B12 1210 → high (possibly supplementing → ok)** * **Husband semen normal** --- ## 💡 Is Natural Conception Possible? 👉 **YES, it is very much possible.** However, **you must ensure thyroid is stable (TSH < 2.5 ideally), Anti-TPO reduced, Ferritin > 45 ng/mL**, and **ovulation is happening regularly.** High Anti-TPO **does increase miscarriage risk even if TSH is normal**, but this risk reduces significantly once **inflammation and antibodies go down.** --- # 🔑 Step-wise Treatment & Guidance --- ## 1️⃣ **Thyroid & Anti-TPO Antibodies Reduction** ### 🩺 Continue Thyroxine (75 mcg) – VERY IMPORTANT but you can cansult us and take ayurvedic alternative for it. Maintain TSH between **1–2.5 µIU/mL** ### 🌿 Add Ayurvedic + Natural Supports | Supplement | Dose | Purpose | | ------------------------------------ | --------------------------- | --------------------------- | | ******(Se*)** | 300–500 mg at bedtime | Reduces antibodies & stress | | ******** | 200 mcg/day | Reduces Anti-TPO (proven) | | ***e (optional)** | 1000 mg/day | Helps thyroid & fertility | | ***extract** | 500 mg/day | Lowers CRP & inflammation | | ******+ D-**** | 2000 mg + 50 mg twice daily | PCOD & insulin resistance | 📌 *Keep avoiding gluten (very helpful in autoimmune thyroid), processed food, soya, and refined sugar.* --- ## 2️⃣ **PCOD & Ovulation Support** | Supplement | Dose | Purpose | | ---------------------------------------------- | ------------------------------------------- | --------------------- | | ******granules or 500 mg capsule** | 2×/day | Improves ovulation | | ******** | 20 ml + water after lunch & dinner | Balances hormones | | *****churna + ***+ ***** | ½ tsp morning empty stomach (if no acidity) | Stimulates ovulation | | *****(****herb)** | 400 mg morning | Helps regulate cycles | 👉 Maintain **40–45 min daily moderate exercise** but avoid **excess heavy workouts** (they worsen ovulation sometimes). --- ## 3️⃣ **Ferritin Low (19 ng/mL) — MUST RAISE TO ≥ 45** Low ferritin affects **egg quality and ovulation**. | Remedy | Dose | | ----------------------------------------------------------------- | ------------------------------ | | **Iron ***(easily absorbed)** | 30 mg/day after lunch | | **Add black raisins (7 overnight soaked) + jaggery + ghee daily** | Natural iron | | Ayurvedic option: ******or ***** | 2 tabs twice daily after meals | Take **Vit C (Amla, lemon) 30 min after iron** for absorption. --- ## 4️⃣ **CRP High → Reduce Inflammation** * Start *****churna ½ tsp at night with warm water** * **Golden milk** (turmeric + ghee in milk) at bedtime * Avoid **red meat, fried food, stress, late nights** --- ## 5️⃣ **Boost Fertility & Egg Quality** | Recommendation | Reason | | -------------------------------------------------- | ----------------------------------- | | **Ghee 1 tsp morning + 1 tsp before lunch** | Supports hormones | | **Vitamin D (30–60 ng/mL is ideal)** | Continue | | **Meditation & Pranayam daily 10 mins** | Lowers cortisol (affects ovulation) | | **Regular intercourse between Day 10–18 of cycle** | Fertile window | If cycles are too irregular → get **follicular monitoring for ovulation** for 2–3 months. --- # 📉 Medicines & Herbs Summary (with timing) consult us for details 📌 *Continue Thyroxine strictly on empty stomach daily.* --- # 🔬 Track Every Month | Test | Ideal Target Before Conception | | --------- | --------------------------------------------- | | TSH | 1–2 µIU/mL | | Anti-TPO | Reduce below 100 IU/mL (as much as possible) | | Ferritin | Above 45 ng/mL | | CRP | Below 1–2 mg/L | | Ovulation | Confirm via follicular tracking or basal temp | --- ## 🧿 Final Guidance ✔️ **Natural pregnancy is possible**, just need… 🔹 *Stable thyroid* 🔹 *Ovulation tracking* 🔹 *Reduce inflammation & antibodies* 🔹 *Iron correction* 🎯 *Aim to conceive naturally once the above parameters are corrected. Trying now while TSH is good is okay but antibodies and ferritin correction significantly improve chances & reduce risk.* --- ## 📢 Would you like a **detailed diet plan + fertility yoga + calendar-based conception guidance?** I can also help you structure supplements week-wise. You are on the right track. Stay calm, nourish body & mind, and you *can* conceive naturally 🌸 Waiting for your reply 🙏 Advice- self medication is hazardous, always consult ayurvedic doctor before taking ayurvedic medicine. Consult me personally for details.
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book consultation with us for more details.
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kindly follow the advice.
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I noted your reports and as per them you should start taking kanyalohadi gutika - 2-0-2(A/F) for iron,kanchnar guggulu tab-2-0-2(A/F) for tsh and pcod,nagarjuna normen tab-1-0-1(B/F)for your irregular cycle,pushyanuga churna-1gm(B/F)OD and I'll tell you other course of treatment after you complete this first course of treatment for 15 days.
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Consult me for better evaluation of this case.
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Uttar basti from nearest panchkarma centre which includes abhyanga with mustard oil and steam or bashpa swedana,Meditation and yoga asanas such as butterfly position will be the best.Do more exercises too such as running and cycling.Use Tila tailam for cooking meals.Avoid milk products.
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For Conceive you have to normalize your thyroid function Take methi water morning ( socked at night) In pcod Kanchnaar guglu 2 tab * 2 time after food Aarogyavardhni vati 1 tab *2 Triphala churna at night
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for fertility test should be done AMH LH ( high in pcod) FSH prolactin
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for further information.. check out my profile then consult me
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We have been seeing improvements in this kind of cases with customised detoxification followed by freshly prepared medicines.
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They can consult
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Your thyroid levels have improved well with treatment. High Anti-TPO with PCOD can affect ovulation, but with proper thyroid control, cycle regulation & Ayurvedic support, natural conception is very much possible. Anti-TPO can increase miscarriage risk, so reducing inflammation & balancing hormones is important. With correct medicines, diet & lifestyle, antibodies, PCOD & fertility can be managed together. I suggest you consult me for a personalized treatment plan.
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Consult ayurveda physician for proper diagnosis and root cause of ailment before consuming any medicine
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Hello , As per your reports , you should start 1.Saptasaram kashayam 15 ml with 60 ml like warm water before food twice a day. 2. Pushpadhanva Rasa 1-1 twice 3. Kanchnaar guggulu 2-2 twice after food 4.Syp M-2 Tone 10ml twice a day after food . For 15 days .
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Next step- Follow up with fresh Lab reports along with AMH test report and USG report.
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Helpful tips- Yoga ( cobra pose, camel pose, fish pose, butterfly , Cat- cow pose) Pranayama- Ujjayi pranayama,Bhastrika,Baramari) Avoid junk , spicy, dairy, sweet stuffs Avoid stressing and overthinking
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.