thinking of pregnency...help

[arttc]

In 99' i found out I have SVT and WPW. Had 2 amblations that year, the first one just didn't take. I was on meds for about 3.5/4 years. No trouble sence. 06' had my son but took 2 tries on Clomid and through IUI...AWESOME pregnancy...no trouble caring, natural birth. Earlier this year we found out I have Graves. In October of this year, I had all of my thyroid removed. I am now Hypo and on Synthroid. I do feel much better now that it's out, still no heart trouble. I'll be 32 in Jan. and we would love to have atleast 1 more child.  We have always wanted a big family. We would like to know what risk I may have along with our unborn child, what type of doctors should we look to? I will have to be on Clomid and do IUI again. Are we crazy for even considering this?

[Mark Lupo, M.D.]

There should be no obstacle, from a thyroid standpoint, with trying for another pregnancy.  The key issues are 1) to keep TSH in the 0.3-2.0 range before and during pregnancy and 2) remember you have Graves' disease -- ie, check TSI (immune system marker for Graves') during second trimester to assess risk of baby being born w/ Graves' (rare) and 3) recognizing that thyroid hormone requirements increase with pregnancy and most women with post-surgical hypothyroidism will need a 25-40% increase in their dose of thyroid replacement (synthroid in your case).

[arttc]

I have just 2 more questions. Can you tell me how how/if the clomid will affect the synthroid; vice versa? It took 2 tries just on the clomid but now with the synthroid, will it be harder to coneive?
Thanks again =)