Confused

[mjmom69]

I'm more confused than ever. I have Hashimoto's and my endo told me it was mild and didn't put me on meds. When we started trying to conceive, my OB/GYN put me on 25mcg Levothyroxin (generic Synthroid). My levels are now:
TSH- 1.14 (up from .93)
Thyroxine free (FT4?)- .80
I don't think I was tested for anything else.
I have an appointment with a new OB/GYN tomorrow. What should I ask her? I wasn't very happy with my endo but I am limited in my area by my insurance. I've got myself worried now because even though it is a few days before I can take a pregnancy test, I think I may be pregnant this time.
Any advise would be great.
Thanks

[Super_sally888]

Hi,

during pregnancy TSH should be around 1 and FT3 and FT4 should be in the upper end of the reference range.  TSH alone is not a good indicator because it can appear artificially low during pregnancy (due to interference of pregnancy hormones).  FT3 and FT4 are more important than TSH and TSH alone should never be relied on for adjusting medication..

FT3 and FT4 should be tested monthly during pregnancy.  It is normal to increase thyroid meds during pregnancy as the need for thyroid hormone increases dramatically during pregnancy.

Hope this helps.

[mjmom69]

I got your post and plan to ask for a free T3 & T4. I still don't understand the numbers though, or how my symptoms will change with different levels. I read an article suggested before, which just makes me more nervous about conception. I want to know all I can in order to make sure by OB/GYN is doing all he can to make a pregnancy go well.
Thanks for your response.

[gimel]

I had just posted my suggestions in response to your original post.