TSH level one month post lobectomy?

[bendoregon]

I had my right thyroid removed (due to a follicular nodule that was benign) on March 6, and my TSH level on March 31 was 5.68.  I am wondering if it is appropriate to wait to see if levels will change before I start replacement therapy.    If so, how many months should I watch and monitor my TSH level before doing something?  I am 33 years old and would like to have another baby next year, so while I am not in a hurry I do have that goal.  Obviously, it would be nice to be able to avoid the medication.

Curious in Bend, Oregon

[Mark Lupo, M.D.]

Wait and see - the first 4-6 weeks may be an adjustment time for the remaining lobe to take over full responsibility for thyroid hormone.  Recheck in 5-6 weeks assuming you are feeling well and not planning a pregnancy in the near future.  If antibodies are positive, then the chance of avoiding medications is less.

[val1198]

I can't answer your original question but maybe someone else may be able to.

However, if you ultimately end up on meds, be absolutely sure you have enough meds in you, especially in the first six months of pregnancy.  You will probably have to increase some in the early months.  I will insist my daughters, if they ever decide to give me grand children, get tested every month.

BTW, TSH level is not adequate for assessing your actual levels of thyroid hormones.  Get FT3, FT4 also.