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Thyroid Cancer, Nodules & Hyperthyroidism (Expert Forum)
Postpartum thyroiditis
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.
Postpartum thyroiditis
by mcy, Jun 16, 2007 12:00AM
I have recently been diagnosed with postpartum thyroiditis and am in my hyperthyroid phase. I am four months postpartum and currently on atenolol for palpitations from the hyperthyroidism and oral contraceptives. I had a thyroid uptake scan and was told there was no uptake seen. My last labs showed decreased TSH, elevated T3, and positive antibodies. What does the no uptake mean and is it possible that my medications interfered with the test? Also, I am considering having another child next summer. Will this happen again?
Doctor's Answer
by Mark Lupo, M.D., Jun 17, 2007 12:00AM
, Jun 17, 2007 12:00AM
no uptake is consistent with thyroiditis -- ie, the thyroid was too inflamed to be interested in taking up iodine to make more thyroid hormone. You are more likely to have recurrent thyroiditis. There is a recent study suggesting that antibody positive pregnant women who take selenium 200mcg/day have less chance of getting post-partum thyroiditis - but this needs to be confirmed in larger studies before a universal recommendation can be made.
With another pregnancy desired in a year, if you develop HYPO -- may be best to be on levothyroxine (ie synthroid or levoxyl) to keep levels stable throughout future pregnancies, then try to come off after finishing with reproduction.
With another pregnancy desired in a year, if you develop HYPO -- may be best to be on levothyroxine (ie synthroid or levoxyl) to keep levels stable throughout future pregnancies, then try to come off after finishing with reproduction.
Member Comments (1)
by Tiff1980, Apr 02, 2008 04:48PM
A related discussion, Thyroid Nodules Postpartum was started.
