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TSH level 17
I have the TSH level 17 and i am pregnant.Its 6 weeks now.I have done all other thyroid test as per the doctors recommendation and every thing was normal. As per doctor i am suppose to take a medicine Thyronorm everyday during this period.
Does anyone have any idea on this . will ther be any problem with this in my pregnancy.. I am very much tensed.
I love you Sally :) -
One thing too.... hypopitutiaryism.... pregnancy and pitutiary stalls. I doubt this is something here however.
You're the best Sally and in my heart of cyber freinds f o r e v e r ... :)
{hugs} and TGIF
One thing too.... hypopitutiaryism.... pregnancy and pitutiary stalls. I doubt this is something here however.
You're the best Sally and in my heart of cyber freinds f o r e v e r ... :)
{hugs} and TGIF
Stella,
I guess the key thing I got concerned with was the advice to wait 6 weeks and test again. I totally agree about testing the frees. I'll explain.
Although I understand all about TSH being pituitary, I think that hypothyroid should be assumed and treated in this case as the starting point (but with appropriate further testing).
My personal opinion (from reading) is that in the vast majority of cases a high TSH in someone who has NEVER taken thyroid meds is generally a good indication of Hypothyroid that needs further investigation and treatment.
However, LOW TSH is not necessarily an indication of hyperthyroid, though it can be.
Further, low TSH in someone who has been on thyroid meds for a while can be worthless and real thyroid function can only be determined by testing the frees. Also symptoms area always more important than than TSH number.
Agree that she immediately needs testing of her frees and antibodies too to clearly define the situation. FT4 reference range during pregnancy should be increased by 50%, so a level at the bottom of the reference range is not acceptable.
Take it from there. But not wait for 6 weeks. weeks 6 - 12 during pregnancy is a critical time for fetal development and I would err on the side of caution in treating.
I guess the key thing I got concerned with was the advice to wait 6 weeks and test again. I totally agree about testing the frees. I'll explain.
Although I understand all about TSH being pituitary, I think that hypothyroid should be assumed and treated in this case as the starting point (but with appropriate further testing).
My personal opinion (from reading) is that in the vast majority of cases a high TSH in someone who has NEVER taken thyroid meds is generally a good indication of Hypothyroid that needs further investigation and treatment.
However, LOW TSH is not necessarily an indication of hyperthyroid, though it can be.
Further, low TSH in someone who has been on thyroid meds for a while can be worthless and real thyroid function can only be determined by testing the frees. Also symptoms area always more important than than TSH number.
Agree that she immediately needs testing of her frees and antibodies too to clearly define the situation. FT4 reference range during pregnancy should be increased by 50%, so a level at the bottom of the reference range is not acceptable.
Take it from there. But not wait for 6 weeks. weeks 6 - 12 during pregnancy is a critical time for fetal development and I would err on the side of caution in treating.
There is absolutely no talk here on where her FREES are at Sally.
If she is produces abnormal frees then taking meds may not work.
We can't swing on the TSH level when regular hypothyroidism - not pregnant - so just because the TSH is high w/ pregnancy shouldn't mean pushing thyroid meds either.
( Sally BC pills and patches have alot to do with abnormal thyroid - we need the information prior to saying a med will be necessary logically. )
If she is produces abnormal frees then taking meds may not work.
We can't swing on the TSH level when regular hypothyroidism - not pregnant - so just because the TSH is high w/ pregnancy shouldn't mean pushing thyroid meds either.
( Sally BC pills and patches have alot to do with abnormal thyroid - we need the information prior to saying a med will be necessary logically. )
The TSH is a stress level Sally - If estrogen induced low thyroid - then getting off estrogen now pregnant could be normalizing.
She's too early in this to assume thyroid meds are going to help. Yet I do understand where you are coming from on the 1st trimester.
She's too early in this to assume thyroid meds are going to help. Yet I do understand where you are coming from on the 1st trimester.
Hello,
as you are pregnant thyroid hormone is critical for the health of the pregnancy and your baby.
It is very necessary that you take this medicine. If you don't you risk miscarriage or abnormal brain development of the baby. your target TSh during pregnancy should be 1 -2. But they should also test FT3 and FT4 and keep them in the upper half of the reference range.
(sorry, Stella I disagree in this case about waiting 6 weeks. TSH of 17 is high. Thyroid levels are critical in early pregnancy and Ashuasha needs to be treated for hypothyroid immediately).
Ashuasha, what dose of med has your doctor started you with?
The doctor needs to test again in 4 weeks and then adjust meds again.
Likely the meds will need to be adjusted every 4 weeks for at least the first 2 trimesters.
Please follow the doctor's instructions. High TSH in pregnancy (indicating hypothyroid) is very dangerous for the pregnancy. The medication is safe and necessary. you are welcome to send me a message if you need any more information.
as you are pregnant thyroid hormone is critical for the health of the pregnancy and your baby.
It is very necessary that you take this medicine. If you don't you risk miscarriage or abnormal brain development of the baby. your target TSh during pregnancy should be 1 -2. But they should also test FT3 and FT4 and keep them in the upper half of the reference range.
(sorry, Stella I disagree in this case about waiting 6 weeks. TSH of 17 is high. Thyroid levels are critical in early pregnancy and Ashuasha needs to be treated for hypothyroid immediately).
Ashuasha, what dose of med has your doctor started you with?
The doctor needs to test again in 4 weeks and then adjust meds again.
Likely the meds will need to be adjusted every 4 weeks for at least the first 2 trimesters.
Please follow the doctor's instructions. High TSH in pregnancy (indicating hypothyroid) is very dangerous for the pregnancy. The medication is safe and necessary. you are welcome to send me a message if you need any more information.
Were you on birthcontrol prior to getting pregnant? Estrogen induced hormone will cause this TSH to be high and it takes a long time to back off again.
If you haven't developed any hypothyroid symptoms as of yet - I would review your history of taking estrogen BC - if you did - and ask if your doctor could evaluate you again on 6 weeks before starting thyroid hormone. In the meantime you may want to concentrate on liver cleansing and increasing that to see if it helps to eliminate a prescription drug pregnancy.
If you haven't developed any hypothyroid symptoms as of yet - I would review your history of taking estrogen BC - if you did - and ask if your doctor could evaluate you again on 6 weeks before starting thyroid hormone. In the meantime you may want to concentrate on liver cleansing and increasing that to see if it helps to eliminate a prescription drug pregnancy.
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