Aa
thyroid and pregnancy
I'm 9 months pregnant and my gynecologist told me that I have to see an endocrinologist. My TSH is 3.40, FT4 is 1.10 and my FT3 is 3.57. Is there a danger for my baby? Or do I still have time to fix that by therapy?
Thank you so much!
Thank you so much!
Hello again ;)
I was checked by an endo a few days ago and after she had seen my tests results she explained to me that because of my pregnancy, the results are quite normal (although my TSH shouldn't be so high) and that I don't have to be worried about my baby's health.
Thank you both for your information. It helped me make a lot of questions so as to understand what this thyroid is and how it works!
I always keep a file with my tests. I had some a few months ago when I was really ill. The endo also saw these and found out that my antibodies-TG were really high before the pregnancy, that means 173.4 IU/ml while the ref.range is <115.
These anti-TG have been fighting my thyroid all this time. Some new tests showed that they have increased (unfortunately I left the resutls at her office by mistake and I don't remember these new values by heart).
She told me that from now on, I will have to take a pill (T4 levothyroxine sodium 75mg) so as to be healthy and have no further problems.
What scares me is that when I had those tests, some months ago, nobody told me that having your antibodies so high can cause problems... anyway.
Thank you both for your help. I've started making a research on thyroid because I'll have to live with now so I want to learn as much as possible about it. Maybe we'll talk again soon!
Thank you!
PS-Thanks for the compliment about my english, Red_Star ;o)))
I was checked by an endo a few days ago and after she had seen my tests results she explained to me that because of my pregnancy, the results are quite normal (although my TSH shouldn't be so high) and that I don't have to be worried about my baby's health.
Thank you both for your information. It helped me make a lot of questions so as to understand what this thyroid is and how it works!
I always keep a file with my tests. I had some a few months ago when I was really ill. The endo also saw these and found out that my antibodies-TG were really high before the pregnancy, that means 173.4 IU/ml while the ref.range is <115.
These anti-TG have been fighting my thyroid all this time. Some new tests showed that they have increased (unfortunately I left the resutls at her office by mistake and I don't remember these new values by heart).
She told me that from now on, I will have to take a pill (T4 levothyroxine sodium 75mg) so as to be healthy and have no further problems.
What scares me is that when I had those tests, some months ago, nobody told me that having your antibodies so high can cause problems... anyway.
Thank you both for your help. I've started making a research on thyroid because I'll have to live with now so I want to learn as much as possible about it. Maybe we'll talk again soon!
Thank you!
PS-Thanks for the compliment about my english, Red_Star ;o)))
Hi gimel. Besides the TSH, there are no other recommendations i can find but no surprise there eh? :)
Juliekar, glad to help. Gimel added great info on the other thyroid labs to keep an eye on.
PS: Τα αγγλικά σας είναι πολύ καλή. :)
Juliekar, glad to help. Gimel added great info on the other thyroid labs to keep an eye on.
PS: Τα αγγλικά σας είναι πολύ καλή. :)
gimel and Red_Star, thank you both so much for your reply and your information!!!
I'm having an appointment wint an endocrinologist this week and see what he has to say. It's just that my gynecologist really scared me with his behavior and now I'm really looking forward to seeing this endo!
Thank you again! I will let you know. (Forgive my english but I'm Greek)
I'm having an appointment wint an endocrinologist this week and see what he has to say. It's just that my gynecologist really scared me with his behavior and now I'm really looking forward to seeing this endo!
Thank you again! I will let you know. (Forgive my english but I'm Greek)
I totally respect what Red_Star posts, and being male, I obviously have no direct experience with pregnancy. I can tell you some things that we regularly tell our members and I suggest that you should make notes and talk to your doctor and also the Endo.
First, the majority of doctors are hung up on TSH as the Gold Standard for thyroid testing. I know this was taught in meds schools, even up to the present it seems. However, TSH is affected by so many variables that it is inadequate as a primary diagnostic for thyroid issues. TSH causes no symptoms. It is only supposed to be a reliable reflection of the actual thyroid hormone levels. In reality, it cannot be shown to correlate well with either Free T3 or Free T4. Of these, Free T3 is the most important because Free T3 largely regulates metabolism and many other body functions. (note that Free T3 and T4 are not the same as Total T3 and T4).
From just looking at your lab results in light of my experience, I see nothing there to be alarmed about. Your Free T3 is above the midpoint of its range and Free T4 is also within range, though it is in the lower quarter of the range. Remember that T4 is largely a storage hormone, available to be converted into T3, which is what the body uses. A lot of our members would be happy with your lab results. Many doctors would have said you are fine. Did your doctor say specifically why she wanted you to see an Endo?
I agree with Red that you should go and see the Endo, just to get his view of your test results. I am giving you the info above just so you will walk in with more knowledge than most Thyroid patients and can ask the right questions and hopefully get the answers you want. Please let us know how it goes.
First, the majority of doctors are hung up on TSH as the Gold Standard for thyroid testing. I know this was taught in meds schools, even up to the present it seems. However, TSH is affected by so many variables that it is inadequate as a primary diagnostic for thyroid issues. TSH causes no symptoms. It is only supposed to be a reliable reflection of the actual thyroid hormone levels. In reality, it cannot be shown to correlate well with either Free T3 or Free T4. Of these, Free T3 is the most important because Free T3 largely regulates metabolism and many other body functions. (note that Free T3 and T4 are not the same as Total T3 and T4).
From just looking at your lab results in light of my experience, I see nothing there to be alarmed about. Your Free T3 is above the midpoint of its range and Free T4 is also within range, though it is in the lower quarter of the range. Remember that T4 is largely a storage hormone, available to be converted into T3, which is what the body uses. A lot of our members would be happy with your lab results. Many doctors would have said you are fine. Did your doctor say specifically why she wanted you to see an Endo?
I agree with Red that you should go and see the Endo, just to get his view of your test results. I am giving you the info above just so you will walk in with more knowledge than most Thyroid patients and can ask the right questions and hopefully get the answers you want. Please let us know how it goes.
sorry, I forgot that... it's 0.55-4.78 IU/ml for the TSH
0.90-1.8 ng/dl for the FT4 and 2.30-4.20 pg/ml for the FT3.
I'm gonna see an endocrinologist soon but I really can't stop about the possibility of a danger for my child. It's my 1st one!
Thanks for your reply!
0.90-1.8 ng/dl for the FT4 and 2.30-4.20 pg/ml for the FT3.
I'm gonna see an endocrinologist soon but I really can't stop about the possibility of a danger for my child. It's my 1st one!
Thanks for your reply!
Thyroid function should be checked every 6 to 8 weeks during pregnancy. Is this the first time TSH levels have risen? It is recommended that TSH is below 2.5 mU/L in the first trimester of pregnancy and below 3 mU/L in later pregnancy. Induction is sometime between 41 and 42 weeks if you haven't given birth earlier. At this point you have a couple of weeks prior to birth which isn't that long to see much of a change on paper but you may feel a difference soon after starting treatment. See what your endocrinologist has to say.
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