try to concieve

[phnoor]

Hi, sorry for bothering u doc.
Im 27 y.o I had misscarriage in may 2012in 7 wks pregnancy and did D&C
I had previous hyperthyrodism since 2007 treated it for year and ahalf stop medications till now I do my thyroid test for check up and the shock is I have hypothyrodism my lab. Tests is
TSH 5.62 normal range 0.27-4.20
Free t4 1.22 normal range 0.9-1.77
TPO 754.5 normal range 1-16
My endo. Put me on levothyroxine 25mg/day and do contraception till my TSH will reach to 1.5-2.5 because I have large chance of misscarriage due to antibodies.
I read here in ur previous comments that presence of antibodies impact fertility is this right ? That mean I cant have baby at all ?
Plz is my endo. Going in the right direction in treated me? If not whats ur advice to me?
Thanx alot

[Rowelyn]

Good morning doc, i was treated with RAI last march 20, 2012 and now im one month pregnant. . can this affect my baby? i really need your help doc. .

[Mark Lupo, M.D.]

Yes, antibodies impact miscarriage rate and fertility.  Correcting the TSH (into the 0.3-2.0 range) is important and for pregnancy related situations, we usually prefer a brand (Synthroid, Levoxyl, Tirosint, etc) over generic.  The chances for a successful pregnancy are excellent from a thyroid standpoint.