ObGyn/Pregnancy issues/Hypothyroidism?

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Question
Dear Dr. Kandeel,

My wife has been showing the following symptoms pre- and postnatally, and we are wondering if they could somehow be related:
- difficulty getting pregnant (took about 3 years - my sperm count/quality was ruled out as a factor)
- placental abruption
- placenta had to be removed manually after birth most likely due to placenta accreta
- mysterious skin boils/infections on her upper inner thighs during and after pregnancy (the last one is still slowly healing, 12 weeks after giving birth)
- breast milk supply not at 100% yet (about 90% after 2 months of pumping and taking domperidone)

Our daughter was born healthy, however at 42 weeks (without induction) with a birthweight of 3750g. She is developing normally.

After doing some research, it seems that hypothyroidism could explain at least some of the symptoms. However, none of the health practitioners my wife has encountered since birth have ever raised this possibility (though we might have dealt with less than perfect experts).

We are thinking about getting some hormonal testing done.

Any advice would be greatly appreciated. Thank you.

Answer
Frank

The symptoms you mentioned can occur with a variety of disorders and not specific to hypothyroidis. Manual removal of the placenta have nothing to do with hypothyroidism. Recurrent boils can be due to diabetes especially if there is a family hitory of it. Any tests for diabetes carried out?

I suggest she consults an internist.

ObGyn/Pregnancy issues

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Mohamed Kandeel

Expertise

I can answer questions about antenatal care, medical problems associated with pregnancy, labor and delivery and postpartum care.

Experience

Currently I am working as a Professor of Obstetrics gynecology, Menofyia University, Egypt. Since 1987, I worked in many university and private hospitals with a high load of pregnant population averaging 7-9,000 deliveries/year. This exposed me to all problems associated with pregnancy, labor and delivery. I had my doctorate degree in Obstetrics and Gynecology in 1996 in the use of Doppler ultrasound in high risk pregnancies.

Organizations
Menofyia University, Egypt

Publications
-British Journal of Obstetrics and Gynecology (Kandil M) -Egyptian Journal of Obstetrics and Gynecology (Kandil M) -Ain Shams Journal of Medicine (Kandil M)

Education/Credentials
-Master's degree in obstetrics and Gynecology 1989 -Doctorate degree in Obstetrics and Gynecology 1996

Awards and Honors
Editorial advisor: Fetal monitoring section of the international website www.obgyn.net

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