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Thyroid Cancer, Nodules & Hyperthyroidism (Expert Forum)
Hashimotos while pregnant
Answered by
Mark Lupo, M.D. - Thyroid Nodules, Thyroid Cancer, hyperthyroidism, hypothyroidism, Thyroid Ultrasound
Thyroid & Endocrine Center of Florida
Sarasota - FL
Questions in the Thyroid forum are answered by Mark Lupo, MD. Topics covered include Goiter, Graves Disease, Hyperthyroid, Parathyroid/Calcium Problems, Thyroid Cancer, Thyroid Nodules/Cysts, Thyroiditis, Thyroid & Pregnancy, Thyroid Stimulating Hormone (TSH), Thyroid Tests, and Thyroid Surgery.
Hashimotos while pregnant
by wunderlux, Oct 01, 2007 10:29AM
Hi
I am currently 4 weeks pregnant for the first time and I was diagnosed with Hashimoto's Disease last year while being screened for why I was not having a period for 6 months.
Thankfully I was able to conceive with the help of estrogen pills and a HCG shot at ovulation. My questions is, I just got my TSH levels back and my TSH is at 4.52. I am currently taking 25mcg of Synthroid daily and in July my Thyroglobulin AB was 98. I have been reading so much on miscarriages because of having Hashimoto's- I know I should increase my dosage of Synthroid to get my TSH down, but am I doomed for miscarriage because of the numbers I have already? Does anyone know if these antibodies numbers are of a high concern? Any information would be greatly appreciated....I would love to be armed with knowledge to talk to my RE about and hopefully prevent anything from happening.
Thanks in Advance!
I am currently 4 weeks pregnant for the first time and I was diagnosed with Hashimoto's Disease last year while being screened for why I was not having a period for 6 months.
Thankfully I was able to conceive with the help of estrogen pills and a HCG shot at ovulation. My questions is, I just got my TSH levels back and my TSH is at 4.52. I am currently taking 25mcg of Synthroid daily and in July my Thyroglobulin AB was 98. I have been reading so much on miscarriages because of having Hashimoto's- I know I should increase my dosage of Synthroid to get my TSH down, but am I doomed for miscarriage because of the numbers I have already? Does anyone know if these antibodies numbers are of a high concern? Any information would be greatly appreciated....I would love to be armed with knowledge to talk to my RE about and hopefully prevent anything from happening.
Thanks in Advance!
Doctor's Answer
by Mark Lupo, M.D., Oct 01, 2007 09:40PM
, Oct 01, 2007 09:40PM
You are by no way "doomed" -- but keeping the TSH in the 0.3-2.5 range is best. This will require a dose increase -- at least to 50mcg and re-test in 4-5 weeks to make sure you are moving in the right direction. Positive antibodies do increase miscarriage rate but don't guarantee it -- keeping the TSH down is the best protection.
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thanks!
How long did it take and what was your FSH and LH like? I feel like it is the Hashimoto that is causing the anovulation. My doc doesn't seem to agree. Cause sometimes my cycle is "normal" and I feel great and other times, like now, not having a period since early July I feel awful and my FSH and LH are up there. How long did it take to get your cycle going after taking estrogen and what exactly is HCG?
Feel well and cogratulations!
Have you heard of taking low dose T3 in addition to Levothyroxine for hypothyroidism? I have been reading so much about it yet I've been to see 2 endocrinologists for my hashimoto thyroidis and they both think Synthroid is an adequate treatment. Have you ever prescribed low dose Cytomel with Synthroid for example? Thanks!