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How WTS Relates To


In any infertility textbook it is explained that one of the first, if not the first, condition to be ruled out is hypothyroidism. Low thyroid function is more than enough to explain infertility. Unfortunately, the textbooks also indicate that low thyroid function can be ruled out with thyroid blood tests. However, there are many patients with low thyroid function that have normal thyroid blood tests because they are suffering from Wilson’s Temperature Syndrome (a reversible peripheral conversion problem), not hypothyroidism (thought of as a permanent glandular problem).

For years, some Gynecologists have been giving some of their infertile patients T3, with

Euthyroid Sick Syndrome

Euthyroid Sick Syndrome is defined in the online Merck Manual. According to that definition, here is how Euthyroid Sick Syndrome and Wilson’s Temperature Syndrome compare:

Euthyroid Sick Syndrome Wilson’s Thyroid Syndrome
Probably due to decreased T4 to T3 conversion Yes Yes
Thyroid Blood Tests Always Abnormal Typically Normal
Low Thyroid Symptoms None Severe
Persists after non-thyroid stress or illness has passed No Yes
Treated No Yes, reversible

Other than having one thing in common, Euthyroid Sick Syndrome and Wilson’s Temperature Syndrome are almost complete opposites. Euthyroid Sick Syndrome is all about abnormal thyroid blood tests in patients without low thyroid symptoms. The condition is not considered to

Hashimoto’s Thyroiditis

Hashimoto’s Thyroiditis is an auto-immune inflammation of the thyroid gland. This means that the body can sometimes aim an immune attack, similar to the way it might fight germs or cancer, against its own thyroid gland. When that occurs, white blood cells called lymphocytes can infiltrate into the tissue of the thyroid gland. When doctors remove small amounts of thyroid tissue, either with a needle biopsy or during surgery, pathologists are able to see this infiltration, using microscopes. Blood tests can also demonstrate antibodies against the thyroid gland.

Hashimoto’s is more common in

Chronic Fatigue Syndrome

Chronic Fatigue Syndrome (CFS). In order for a patient to be correctly diagnosed with Chronic Fatigue Syndrome, according to the Center for Disease Control website,

  1. The patient must be clinically evaluated (in person) so that other explanations of the fatigue can be ruled out. There is no test that specifically diagnoses chronic fatigue syndrome. Tests are for confirming or excluding other possible explanations.
  2. The fatigue must be persistent or relapsing for at least 6 months, must have a definite onset (i.e., not lifelong), must not be the result of ongoing exertion or substantially improved by rest, must significantly reduce a


Fibromyalgia Syndrome (FMS) is characterized by pain in the muscles, joints, tendons, and fibrous tissues of the body, especially in localized areas called trigger points. The diagnosis consists of widespread pain lasting for more than 3 months. The pain is widespread as in above and below the waist and on both sides of the body. In addition, patients must classically have 11 out of 18 trigger points.

When pressed with a force of about 2 pounds, the trigger points are painful, not just tender. Also, patients are frequently troubled by other symptoms


Hypothyroidism is due to the inadequate production of thyroid hormones by the thyroid gland. The thyroid gland is a butterfly-shaped gland just under the skin on the front of the neck. Ususally, the gland is difficult, if not impossible, to feel with the hands even by trained physicians.

Thyroid hormones play a crucial role in maintaining the correct metabolic rate. If the thyroid gland doesn’t produce and secrete enough thyroid hormone into the blood stream then the metabolism will become too slow, causing the body temperature to drop and leading to classic symptoms. These symptoms include headaches, migraines, depression, easy weight