Some of you may have read my previous posts regarding hashimotos and trying to conceive. Well, I went to my GP today for one last time today regarding this and she spoke to the endocrinologist about this. The endo informed her NOT to give me thyroxine and that if she does give me it , it actually could be quite dangerous. I feel very scared of self-medicated after she was very firm with this. So I probably wont be doing that now. She told me to stop obsessing about it (not in a horrible way). She was a nic elady :). My GP and the endo both said that this should not effect my pregnancies at all as they are within the normal range. They said the NICE guidelines are for women who are already on Thyroxine and diagnosed hypo. She said because my TSH is 2.84 it is within the normal range and taking meds could be dangerous. Even though I do have the antibodies my TSH is normal. They will treat if it falls outside the normal TSH range I assume.
I said to her ' if I fall pregnant again, I would like my TSH monitored every 4-6 weeks as stated in the British thyroid guidelines. A euthyroid women with elevated thyroid peroxidase antibodies is more likely to develop hypo in pregnancy' She agreed and said she is more than happy to send me to get the TSH tested regularly in pregnancy.
She mentioned that I should be taking aspirin as it is often required after miscarriages for future pregnancies. And there is good evidence to support this. So I will be taking this route with a gluten free diet and selenium supplements which there are studies that show it reduces thyroid antibodies and on the bottle it says supports thyroid function, it's a safer route. But should not be overdosed as it can be dangerous from what I read. I take 200 mcg a day.
My appointment with the Endo is in April. I'll just have a chat with them about this if I am not successfully pregnant by then. Fingers crossed I am.
Please note: I am not a GP and not giving anyone advice just informing you guys what the doc said about my situation.