Question 1

I'm a little confused about my recent double marker test results from last week. The beta hCG is at 188.80 ngmL and PAPP-A is at 6.76 mIUmL. I'm having twins, so I'm wondering if these numbers are in the normal range or if there's something I should be concerned about. Could you help me understand what these results mean?

Accepted Answer

Visit your Physician for evaluation and appropriate management

Question 2

I'm really worried about my baby's growth since the scan at 30 weeks and 5 days showed a weight of 1265 grams with a variation of 185 grams. The report mentioned 28 weeks and 6 days with mild IUGR. I've started on argipreg sachets and alamine forte twice daily, and I'm trying to eat as well as I canmilk with protein powder, three eggs, dry fruits, curd, coconut water, and fresh fruits every day. Is there anything else I should be doing or keeping an eye on?

Accepted Answer

Your TSH levels have increased from 4.04 to 6.95.

_TSH Interpretation_

1. _Normal range_: 0.4-4.5 UmL (may vary slightly depending on the lab)
2. _Your result_: 6.95 UmL (elevated)

_Elevated TSH Indicates_

1. _Hypothyroidism_: Your thyroid gland might not be producing enough thyroid hormones.
2. _Thyroid gland dysfunction_: The increase in TSH suggests that your thyroid gland is not functioning optimally.

_Consult a Doctor_

1. _Endocrinologist_: A specialist who deals with hormonal imbalances and thyroid disorders.
2. _Primary Care Physician (PCP)_:
    - If you don't have an endocrinologist, start with your PCP.
    - They'll evaluate your results, medical history, and perform a physical examination.

_Seriousness_

1. _Mild hypothyroidism_: Your TSH level is mildly elevated, which might not require immediate attention.
2. _Monitoring and treatment_: However, it's essential to consult a doctor to determine the best course of action and prevent potential complications.

Please schedule an appointment with an endocrinologist or your PCP to discuss your test results and determine the next steps.

Question 3

I've been diagnosed with a few myoma tumors in my uterus and I'm really worried is surgery the only option or are there other treatments I can explore? I'd love to understand my choices better

Accepted Answer

MRI-guided focused ultrasound (FUS) is a noninvasive treatment option for uterine fibroids that destroys fibroids while preserving the normal uterus. Focused high-frequency, high-energy sound waves are used to target the proteins in fibroids, until they are destroyed.

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