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Thyroid Cancer, Nodules & Hyperthyroidism (Expert Forum)
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.
pregnancy
by eddiesprincess, Mar 24, 2008 01:49PM
I have graves disease and I am taking PTU. My husband and I want to have another child. What are the risks involved with taking PTU while pregnant and does PTU pose any problems with getting pregnant.
Doctor's Answer
by Mark Lupo, M.D., Mar 25, 2008 06:02AM
, Mar 25, 2008 06:02AM
PTU is the preferred anti-thyroid drug during pregnancy - often the dose can be minimized during pregnancy. It does cross the placenta so there is a small risk for fetal goiter and hypothyroidism - especially if the dose of PTU is too high -- the goal during pregnancy is to keep the T4 and T3 at the high-normal range.
Other options would be to remove the thyroid, start levothyroxine, then procede with pregnancy OR I-131 then wait 6 months before trying to conceive.
I would usually recommend PTU or surgery in these cases.
Other options would be to remove the thyroid, start levothyroxine, then procede with pregnancy OR I-131 then wait 6 months before trying to conceive.
I would usually recommend PTU or surgery in these cases.
