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Thyroid Cancer, Nodules & Hyperthyroidism (Expert Forum)
hypothyroidism mismanaged first trimester pregnancy
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.
hypothyroidism mismanaged first trimester pregnancy
by SHB6, Oct 14, 2007 12:41PM
I am currently 18 weeks pregnant and am a hypothyroid patient who takes Synthroid. Prior to conception and during my first trimester, I took Synthroid (75mcg) but my thyroid condition was not managed properly. My TSH level 2 months prior to conception was 3.5. At 6 weeks of pregnancy, my TSH was 5.3. Unfortunately, this was not discovered until week 13 of pregnancy at which point my Synthroid dose was increased. TSH levels after 2 days on the new dose was ~2. I am now being monitored by an endocrinologist. I would like to know what risks my baby has as a result of my thyroid mismanagement (I understand there could be developmental/cognitive delays?). I would also like to know about how high my TSH levels may have risen the in 7 weeks that I wasn't being properly managed. Thank you.
Doctor's Answer
by Mark Lupo, M.D., Oct 15, 2007 10:09PM
, Oct 15, 2007 10:09PM
There are small risks of neurological development problems but typically not seen with only slight increase in TSH. It is hard to speculate how high the TSH may have become before the dose was increased resulting in the current acceptable level of around 2. Would keep a close eye on things and recognize that most pregnancies with mild under-treated hypothyroidism go very well.
Member Comments (2)
by SHB6, Oct 17, 2007 05:20PM
To: Mark Lupo, M.D.
Thank you for your feedback! You are confirming what I am and learning from some other doctors as well.
