Q: I am a 32 years old unmarried woman suffering from polycystic ovary syndrome (PCOS) and hypothyroidism for the past three years. I am still under medication. My blood test was done a month ago, which revealed T4 - 89.12, TSH - 7.67 and LH - 79. My prolactin level is above normal. I am also obese and trying hard to reduce some weight. Can I conceive? The doctor has prescribed me Dronis – 20. My periods are normal.

A:The reference values for normal will tell you whether or not your tests are normal or not. Both LH and FSH need to be done, and that too on day 2 or 3 of your cycle (menses). I have noted your TSH is high and that often leads to a raised prolactin - it comes down when the thyroid function is normalized. You need to consult a good endocrinologist, and hopefully your ultrasound has been done by an experienced sonologist. Sometimes hypothyroidism can give rise to small cysts in the ovary that disappears after proper treatment. Other conditions can also mimic PCOS on scan. In any case, whether it is PCOS with hypothyroidism or hypothyroidism alone, they do impact on your fertility- however, if properly treated you can conceive.