Iām hoping someone could help with TSH levels and Levothyroxin.
A few years ago when I seen a fertility consultant she said my thyroid levels werenāt where theyād like them to be for fertility. I think about 3.7 mu/l and they wanted it below 2.5. I was prescribed Levothyroxin. I then conceived naturally.
Fast forward and weāre trying for our second baby and itās taking a while so weāre at the early stages of getting tested etc. again. I explained to my GP about the thyroid levels and medication from last time as I found my old letters and done some tests and said heāll prescribe Levothyroxin as he agrees. My GP practice has done bloods again more recently, which Iāll send over to the new consultants. However Iāve noticed my levels are 3.57, nowhere near the 2.5 even though Iām taking 50mg Levothyroxin.
Has anyone else had this or needed a higher dose? We donāt have a consultation at the clinic yet as we still need to book in my partners semen analysis but just wondering if thereās anything I can do in the mean time about my TSH.
Thanks x
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Cornish131
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Ah good to know thank you! My GP is lovely but heās obviously not a fertility expert and I donāt have a consultant yet. So Iām wondering if maybe I should contact my GP again and discuss increasing the amount as Iām on 50mg currently.
Theyāve said my TSH is normal at 3.5 but I know it has to be 2.5 to be in the ideal fertility range.
Unfortunately my GP wouldnāt increase my dose as their NICE guidelines did not cover this. When I saw NHS fertility consultant they recommended increasing my dose, without prompting from me, and wrote to my GP
Oh ok! Well that makes it more complicated as I donāt have a consultant at the clinic yet as waiting for my partner to have his analysis done. Never easy is it š
I think it can be tricky with the GPs as their guidelines state that TSH needs to be under 4.2 so they look at it and think it's fine. Mine agreed to a higher dose after a letter from my clinic. My clinic would have increased my dose if the GP did not. The letter explained that they would like to keep my TSH under a certain value (I think it's usually 2.5) xx
Ah ok! I think I was quite fortunate my GP put me back on it in the first place. Maybe it was because I had a letter from my previous clinic stating what I had explained to him. As he said he also spoken with a colleague within that field and they agreed. Iāve sent him a request this morning to see what he says but at least Iām aware now heāll probably say no. And Iāll wait until Iām in with the consultant xx
Just to share my experience. When I started my first IVF cycle my TSH was 3.7. My first doctor gave me some medicine to lower it during the two week wait. I failed. In my second IVF my doctor didn't even checked my TSH. I had my first transfer in September and the second in October and failed both. Another doctor suggested to test my TSH and it turned out to be 4.1. Both transfers were done with this level of TSH. I asked my doctor whether I failed because of my high TSH and he said not it doesn't matter š¤·āāļø.
TSH does matter. I would ask for a second opinion. My MS recommended TSH below 2 before trying to conceive. You definitely want it optimal, not just within range.
Hi, youāre right, mine is within GP rang, said itās a bit higher but donāt need med, but IVF clinic doctor said need to keep it in ideal range
Just like my blood sugar, I have diabetes for 15 plus years, GP doctor said I controlled very good 6.5, but clinic doctor said need to be in ideal range which is under 6, its hard for diabetes who use insulin, it took me over half an year to reach that
I have contacted my GP today and heās booked me in for a medication review on the 28th. I also sent the blood results to the clinic today and was advised a clinician will contact me next week, so Iām fully expecting them to raise my TSH level.
Luckily my GP is very supportive so I donāt think heād have an issue with increasing my Levothyroxin dosage. But 50mg clearly isnāt working for me as Iām still slightly above 3.5 š is it bad if I just take x2 of my 50mg tablets daily instead of x1 š
This Thyroid malarkey is so complicated! When I had my chemical and negative transfers I thought is it my Thyroid?.. Should I double my dose every few days? Gonna get it tested again before my next transfer but its such a worry.
Maybe you need 75mg.
If only we could check our own levels and regulate them like diabetics can. Especially as it's so important to pregnancy.
Hello all, just thought Iād share my experience of TSH. Iāve consistently had levels above 2.5 and my NHS clinic never suggested there was a problem until I went to the repeat miscarriage clinic. (Although I really wish they had treated it and brought it down) since then Iāve seen a fertility nutritionist and completely changed my diet and cut out gluten. My levels are now 1.5 and I donāt have any meds for it. Iām sure it wonāt work for everyone, but since we all do a lot of our own research on fertility, I thought it was worth mentioning. Good luck everyone xxx
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