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Thyroid Cancer, Nodules & Hyperthyroidism (Expert Forum)
Pregnant with Hyperthyroid Antibodies
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 Hyperthyroid Antibodies
by Sribeiro, Oct 31, 2009 03:46PM
After my first pregnancy I was diagnosed with hypothyroid and was treated with synthroid. Shortly after getting pregnant again my endocrinologist took me off synthroid as my bloodwork (and symptoms) indicated hyperthyroidism. My docotr chose not to medicate but to monitor. I am now 27 weeks pregnant and have test positive for a 2nd time for thyroid antibodies. My levels are: TSH=.01, T4=13.5, T4 Free=1.2, TBII=29.2, and TSI=155.
At this point the endocrinologist wants an ultrasound to look at the baby's thyroid. If all seems normal he recommends no treatment. While I have some hyperthyroid symptoms myself- they have seemed to get a little better as my pregnancy as progressed.
Woud you agree with this protocol? I'm worried about the risks to the baby.
At this point the endocrinologist wants an ultrasound to look at the baby's thyroid. If all seems normal he recommends no treatment. While I have some hyperthyroid symptoms myself- they have seemed to get a little better as my pregnancy as progressed.
Woud you agree with this protocol? I'm worried about the risks to the baby.
Doctor's Answer
by Mark Lupo, M.D., Oct 31, 2009 04:29PM
, Oct 31, 2009 04:29PM
You appear to have autoimmune thyroid disease - initially presenting as hypothyroid (due to a Hashimoto's like destruction of thyroid) and now with Graves. The TSH is low, but T4 is fine for pregnancy, so I agree to hold on treatment unless there is a fetal abnormality on ultrasound -- but likely observation alone is the best route.
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