Not sure if you'll be able to help with this one. I was diagnosed with hashimotos a few years back, it's under control at the moment. I've been seeing an immunologist because I have recurring shingles outbreaks on my shoulder and back (for at least 12 years, I used to get it once a year but last year I had 6 outbreaks). He has put me on acyclovir for 3 months to see how that goes. But I would like to have a baby in the not to distant future so it's not a permanent fix.
The immunologist referred me to a Hematologist for chronic anemia. I have always been anemic (I'm 33) but it's never been investigated. He's did some more tests and my Absolute Reticulocyte Count has come back as 31 (range 50-100). RBC 3.4 (range 4-5.2), Hemaglobin 10.57 (range 12-16), HCT/PVC 33.6 (range 36 - 46). My MCV is 98 which is towards the high end of the range so he has told me to stop taking iron as my red blood cells are enlarged, so he has ruled out iron deficiency. WBC are within range, but Monocytes % is 8.99 (range 4 - 9) so it's quite high. Vitamin D and B12 are optimal.
In addition my IgG subclass 3 is below range. It was 31 in December but has risen to 38 (range 41 - 129).
I saw the Hematologist again yesterday. He said that my bone marrow is not functioning properly as it is not producing enough red blood cells (shown in the low reticulocyte count). He said that this may be due to the recurring shingles and said we should wait 6 weeks and run the tests again.
I'm quite concerned as from looking online it seems that's the only causes of a low reticulocyte count are iron deficiency anemia (which i don't have) or bone marrow failure. I don't really want to wait 6 weeks just for whatever it is to get worse.
Has anyone had similar results? Should I just stop worrying and see what happens in 6 weeks? I'm lucky enough to have private medical insurance and I can get a second opinion immediately if needed.
Thanks so much in advance!