Dr. Kharazmi tells women what test they should get if they think they have a thyroid disease.
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If a woman thinks she has thyroid disease, what test should she get? It depends on their symptoms too. First thing is that you always have to ask the patient why they think they have thyroid disorder. What symptoms are they presenting with? Are they feeling more fatigued, the skin has changed in consistency, are they’re getting drier skin, are they getting more constipated, are they feeling more lassitude, just lack of energy overall and is their thinking process slowed down, are they feeling more cold? Those are some of the symptoms of thyroid disorder but for some it maybe more salient in terms of just little tiny changes in behavior, just not to be able to maintain their work hours of what they were before. The answer is a simple test would be, do a thyroid stimulating hormone test, a very sensitive form of it is available. I like to always check a free T3 and a free T4. Again those are the active thyroid hormones available. The reason you want to do that is because some people produce enough of one hormone but they don’t produce enough of other and if you don’t check it, then you’ll miss it. So, those are customary tests to do, to perform for people who are thought to have thyroid disorders but again, make sure that the clinical symptoms also are relevant and appropriate for disorder. But again, we’re not just treating lab tests; we’re treating the whole patient.