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Thyroid Cancer, Nodules & Hyperthyroidism (Expert Forum)
Pregnant with Hashimoto's
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.
Pregnant with Hashimoto's
by akm0036, Sep 19, 2009 02:59PM
Dr.
I just found out I am pregnant after IVF. I have hashimoto's thyroid disease. My TSH is 4.7 and jumped to 6.3 last week. My T4 and T3 are within range. In you opinion do I need to increase my dose of .75? Does jumping in and out of range and being on the high-side put me at risk for a miscarriage? What range should I be in? How long and how far off do your TSH numbers have to be to affect your pregnancy? Should I get tested for other issues that this disease can cause such as blood clotting? I am sorry to bother you but I am worried that my TSH being on the high side will cause me to miscarry. Thank you.
Alyssa Clements
I just found out I am pregnant after IVF. I have hashimoto's thyroid disease. My TSH is 4.7 and jumped to 6.3 last week. My T4 and T3 are within range. In you opinion do I need to increase my dose of .75? Does jumping in and out of range and being on the high-side put me at risk for a miscarriage? What range should I be in? How long and how far off do your TSH numbers have to be to affect your pregnancy? Should I get tested for other issues that this disease can cause such as blood clotting? I am sorry to bother you but I am worried that my TSH being on the high side will cause me to miscarry. Thank you.
Alyssa Clements
Doctor's Answer
by Mark Lupo, M.D., Sep 20, 2009 06:11PM
, Sep 20, 2009 06:11PM
You should increase your dose - talk to your doc, but usually 100mcg and repeat in 4 weeks would be our recommendation. Target TSH in pregnancy is 0.2-2.0 in our practice (ie, better to have a littele extra medication than not enough). At this point the levels are only a little abnormal with no evidence that this would be harmful.
All the best for your pregnanacy.