Thanks a lot. This really helps. God Bless You
Being hypothyroid will likely make it harder to conceive, yes. But more importantly, once she does become pregnant, low thyroid hormones will definitely impact the developing fetus. The earliest stages of fetal development is the time when it is most critical for the mother to have sufficient thyroid hormone.
http://www.ncbi.nlm.nih.gov/pubmed/24015847
"Conclusion: Early TH [thyroid hormone] insufficiency from maternal hypothyroidism affects offspring hippocampal development and memory."
Your wifes thyroid hormone levels are off.
You are better off holding off a while to conceive until you get your thyroid levels stabilized. It is possible to get pregnant but it is better for you and your baby to have proper thyroid levels first.
While your FT4 is in range, it is low in the range we would normally see. Please post the reference range for each the Free T4 and Free T3.
25 mcg of T4 medication is a common starter dosage. But do not expect that this will be your optimized dose. It takes 6 weeks for the T4 to stabilize in the blood stream. And then you need to be re-tested and if a new dosage prescribed wait an additional 6 weeks etc.
Diet has NOTHING to do with Thyroid for the most part. having little to no effect.
I know this is not what you wanted to hear. But that is what my opinion is. Understand I'm not a Dr and it is only one person's opinion.
Hormones go crazy when pregnant. So it is far better to try to get things sorted out with her thyroid and other hormones PRIOR to the craziness that occurs during pregnancy. Also best for the health of the growing baby in the womb.