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Pregnancy  (Expert Forum)
 | 
Thyroid levels abnormal
Answered by
Keith Downing, MD - Obstetrics, Gynecology
MA
This forum is for questions and support regarding pregnancy issues such as: Alcohol/Drugs, Bleeding, Caesarean Section, Childbirth, Diabetes, Depression, Fetal Monitoring, Genetic Testing, Hormonal Changes, Labor, Lamaze, Morning Sickness, Nutrition, Parenting, Prenatal Care, Weight gain.

Thyroid levels abnormal

by gofrenzy, Aug 09, 2007 12:00AM
Hi,

I am in 23rd week now and i have hypothyroid problem since i was 18 years. I normally take 100 mcg everyday of synthyroid and last time when i got my levels checked in April 26 2007 it was all well I had
T3 - 112 ng/DL
T-4 (Thyroxine) Total - 9.0  mcg/dL
TSH - 1.38 mIU/L

But when i got my levels checked recently It was abnormal.I always had my t3 and t4 in level it was normally TSH which was varying all the time. This time when i got it checked on july end 2007 it was

T4 - 0.9 ng/DL (In range)
T3 - 202L  pg/DL
TSH - 9.79 H mIU/L

My oby gynic asked me to visit endocrynologist and I am very worried as iam pregnant right now and if my baby is fine and safe. I am searching for an appointment with endocrynologist but just thought maybe someone can suggest me in the mean time if i need to increase my dose from 100mcg to more.

Any help is appreciated. Thanks in advance.

by Keith Downing, MD, Aug 27, 2007 09:22AM
Hello,

Needing to increase the dosage of synthroid during a pregnancy is quite common.  This is due to the expected increase in blood plasma that occurs during pregnancy (and peaks around 32 weeks).  A visit with an endocrinologist is a good idea, but in the meantime your ob/gyn should increase your dose.  A fetal growth scan around 28-32 weeks is probably not a bad idea either.  

Best regards,

Dr. Downing
Member Comments (5)

by shahaj, Aug 09, 2007 12:00AM
To: anyone who can help
is it possible to ovulate twice in a month cause here is the situation had my period on july 22 had my IUD removed on Aug 6 and today Aug 9 got period again but according to a ovulation site i first ovualted on the 5th of Aug and if i go by this time it will be about the 23rd of august so i am confused what i go by we are trying to have another child so any help will helpful

by HilaryP, Aug 10, 2007 12:00AM
To: gofrenzy
DONOT INCREASE YOUR MEDS WITHOUT YOUR DOCTORS AUTHORIZATION!!!! if your doctor didnt instruct you to take more than dont !!!! that is extreamely dangerous. if you take more than you need to you will only put your thyroid out of wack even more. It is normal for your thyroid to change once you are pregnant becuase yoru hormone levels change.  I never had a thyroid problem until gave birth to my son. But after several year it went back to normal and I no longer need meds.  So just follow your doctors orders. Also your obgyn should be able to refer you to some good endocrinologists!

by patience33, Sep 06, 2007 11:12AM
To: gofrenzy
I hope you have seen an endo. I just, at 8 weeks pregnant, found out TSH is 13. I was seen right away, and believe if you inform them that you are pregnat they will also see you. Good luck and any info you may have for me would be most apprectiated, as I never knew I was hypothyroid, and am very anxious about my pregnancy now. Take care.

by wanabeamama, Sep 21, 2007 04:38PM
To: gofrenzy
I would call the endocrinologist and try to get a script over the phone. It takes a long time to get into see those guys.  Often OBGYN's pass it off endocrinologist and don't take care of it right away.  Then schedule follow up appointments with your endocrinologist for each trimester and following the birth of your child. These are all times when your thyroid can change.  then you know you will be able to get in.  

by Mabeline, Sep 10, 2008 12:16PM
A related discussion, When does fetus use maternal thyroxine?? was started.
Continue discussion
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