Trying to conceive with subclinical hypothyroidism

Hi
We have been ttc our second child for nearly a year now and in that time I have been having tests for subclinical hypothyroidism. My tsh level is 4.6 and thyroid antibodies have also been detected. I have read loads about tsh levels needing to be between 1 and 2 for successful conception and pregnancy but dr won't treat me, he has referred me to an endocrinologist but not holding out much hope! Anyone know anything about this or know of an endo in the London, uk area who will treat sub-clinical hypothyroidism? Should I be worrying about this?

[Elaine Brown, MD]

Hi!
If you were my patient, I would probably advise you that treating sub-clinical hypothyroidism is controversial EXCEPT in cases of infertility and pregnancy.
If you have been referred to a REPRODUCTIVE endocrinologist, you will probably be treated, or at least probably would be in the US.
Hope this helps!
Dr B