A 23-year-old female with polycystic ovary syndrome and bipolar affective disorder presents to the clinic as she would like to have a child after recently establishing a relationship.
A 23-year-old female with polycystic ovary syndrome and bipolar affective disorder presents to the clinic as she would like to have a child after recently establishing a relationship. Her regular medications include lithium and metformin. Blood tests show the following:
| TSH (0.17-3.2 uU/l) | 12 |
| Free T4 (11-22 pmol/l) | 8.5 |
| Prolactin (<400 mU/l) | 900 |
| Adjusted calcium (2.1-2.6 mmol/l) | 2.63 |
Which of the following is the appropriate management?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
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