pregnancy after thyroidectomy for graves

[alex32]

And finally... I am pregnant, just 4 -5 weeks. Three weeks ago I had tested TSH and it was 8, with normal FT3 Ft4. I increased my dossage from 150 to 175 (total thyroidectomy last October for Graves). I got pregnant and yesterday I tested again my hormones ( after 15 days of new dossage of 175),but results will come in a week. What increase would you suggest for my condition. I just need a help if possible until I see my doctor (in 10 days). Please note that I am 85 kg. Many helps for your support anyway!!

[Mark Lupo, M.D.]

pregnancy is a time when immune system disorders tend to improve....

[Mark Lupo, M.D.]

The average dose increase during pregnancy is 25-40% -- more common to need a dose increase in patients with thyroidectomy than in patients with hashimoto's.

But not all women need the 25-40% increase, so it is important to check levels frequently.  A slightly high dose is safer than a dose that is not enough.

Also - with the Graves history -- make sure they test TSI levels to see if they are still elevated as the immune system attack on the thyroid (TSI) can sometimes (not common) cross the placenta and cause neonatal Graves.  This is rare, and usually only occurs with very high TSI values (>3-5 times the upper limit of normal).

[alex32]

Thank you Dr!. Just to inform any other member and graves' patient that before getting pregnant and after thyroidectomy I was not feeling well and I had eye issues. From the time I got pregnant I feel great ( and this is not psycological since I have a baby already and I did not trying for pregnancy), and my eyes are getting better every day. I think that graves is is remission.