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Thyroid Care Tailored to Your Hormone Balance

Accurate diagnosis, ultrasound-guided FNAC, and evidence-based medication protocols

Book Thyroid Consultation
94%
Euthyroid at 12 Weeks
Patients reach target TSH with titrated therapy
24 hrs
TSH Reflex Turnaround
Same-day T3/T4 auto-reflex for abnormal TSH
3.2%
Repeat FNAC Rate
Below typical 6–8% repeat benchmark

When to Consult

  • Unexplained weight change, hair fall, or fatigue
  • Palpitations, tremors, heat intolerance, or anxiety
  • Cold intolerance, dry skin, constipation, menstrual changes
  • Neck swelling or thyroid nodule felt on swallowing
  • Post-pregnancy mood swings and fatigue (suspect thyroiditis)
  • Abnormal TSH found on routine check-up

Understanding Thyroid Disorders in the Indian Context

India sees high rates of autoimmune thyroid disease and iodine-imbalance goitre. At Ajuda Hospitals, we apply an Indian Thyroid Society–aligned TSH-first reflex algorithm and ultrasound-guided FNAC to get the diagnosis right the first time. Protocols are adapted for Hyderabad’s diet and postpartum patterns.

When to Consult Our Thyroid Specialists

⚠️ Seek urgent care for:

  • ✓ Severe palpitations, chest pain, or breathlessness
  • ✓ Sudden neck swelling, painful thyroid, or high fever
  • ✓ Postpartum confusion or extreme fatigue with very abnormal TSH
  • ✓ Signs of myxoedema crisis or thyroid storm

Book a routine visit for persistent fatigue, hair fall, weight change, menstrual irregularity, or a visible neck lump.

Our Diagnostic Approach

TSH-First Strategy

Abnormal TSH triggers free T4/T3 automatically for accurate classification.

Ultrasound With TI-RADS

Characterises nodules and thyroiditis; determines need for FNAC.

Image-Guided FNAC

Bethesda reporting standardises risk and next steps.

Aetiology Tests

Autoantibodies and, when needed, radioiodine uptake scans differentiate Graves from thyroiditis and guide therapy.

Treatment Pathways

From lifestyle and micronutrients to levothyroxine titration, antithyroid drugs, radioiodine, and surgery, we individualise plans. Pregnancy and postpartum care follow trimester targets and lactation safety.

What to Expect: Your Care Journey

First visit covers history, examination, TSH reflex and ultrasound. Follow-up in 1 week for reports and plan. Titration visits every 6–8 weeks until stable, then 6–12 monthly. Coordinators assist with cashless approvals and WhatsApp follow-ups.

Technology & Innovation

We use high-frequency ultrasound, guided FNAC, TI-RADS/Bethesda frameworks, and EMR-linked lab panels for quick, consistent decisions.

Preventing Complications

Timely therapy reduces arrhythmias, infertility risk, pregnancy complications, and compressive symptoms from goitre.

Why Ajuda for Thyroid Care?

🧪 Accurate First-Time Diagnosis

TSH-reflex panels, ultrasound and image-guided FNAC cut delays and repeats.

👶 Pregnancy-Safe Protocols

Trimester-specific targets and lactation-safe plans reduce risks for mother and baby.

📱 Digital Follow-ups

WhatsApp reminders and quick lab review keep TSH on target.

Take the First Step

Call 9010550550 for a same-day thyroid consult. Early, precise treatment restores energy, protects the heart, and supports healthy pregnancy outcomes.

Diagnosis Approach

1

TSH-First Reflex Algorithm

Start with TSH. Abnormal values trigger free T4/T3 per Indian Thyroid Society and ATA guidance for accurate classification.

2

Thyroid Ultrasound

High-resolution ultrasound characterises nodules (TI-RADS), goitre, and thyroiditis; guides decisions for FNAC.

3

Ultrasound-Guided FNAC

Fine-needle aspiration for suspicious nodules; Bethesda reporting standardises risk and next steps.

4

Aetiology Workup

Anti-TPO, TRAb for autoimmune disease; radioiodine uptake scan if differentiating Graves vs thyroiditis in select cases.

Treatment Options

Lifestyle & Micronutrient Optimisation

Balanced iodine intake, selenium/zinc-rich diet, and fatigue/stress management. Festival diets and fasting plans tailored for Hyderabad lifestyles.

Improves symptom scores and stabilises mild dysfunction
8–12 weeks with dietitian follow-up

Hypothyroidism Protocol

Weight-based levothyroxine initiated and titrated every 6–8 weeks to target TSH. Separate dosing paths for pregnancy.

90% achieve target TSH within 12 weeks
Long-term with periodic monitoring

Hyperthyroidism Medical Therapy

Carbimazole/methimazole first-line; beta-blocker for symptom control. TRAb monitoring to assess remission probability.

60–70% clinical remission at 12–18 months
12–24 months with taper based on labs

Radioiodine (RAI) Ablation

Outpatient I-131 therapy for Graves/toxic nodules when meds recur or cause side effects; contraception counselling provided.

Definitive control in 85–90% with single dose
Response over 6–12 weeks; lifelong follow-up

Thyroid Surgery Pathway

Hemithyroidectomy/total thyroidectomy for malignant/suspicious nodules, compressive goitre, or RAI-ineligible cases.

Oncologic control with nerve and parathyroid-sparing protocols
Day-care to 48-hr stay; recovery 1–2 weeks

Pregnancy & Postpartum Thyroid Care

Trimester-specific TSH targets, safe meds, and postpartum thyroiditis screening with lactation-compatible plans.

Reduces adverse maternal-fetal outcomes
Throughout pregnancy plus 6–12 months postpartum

Expected Outcomes

Treatment Timeline

2–4 Weeks

Symptom relief begins; heart rate and energy improve

6–8 Weeks

TSH trajectory confirms dose/response; adjustments made

3–6 Months

Stable euthyroid state for most patients

1 Year+

Annual labs; relapse surveillance for hyperthyroidism

Success Metrics

  • 94% euthyroid maintenance at 1 year with adherence
  • 70% reduction in palpitations and tremor by 6 weeks
  • Low repeat-FNAC rate with ultrasound targeting