Hello,
Here is my story, it's a long one. I want to thank you all for helping me understand thyroid and the implications if left untreated. I am going to write a blog to help all women with this issue understand and get a diagnosis as I have a lot of experience in this now.
As some of you may know I am now 7 weeks pregnant. I have a history of very early miscarriages at 4.5 weeks (5-6 in total).
I had an upward hill battle to find out what the cause was. First, I got dismissed by GPS who said you have a healthy child stop stressing it may be just that.
I knew it was not just that. It is not normal to have that many early miscarriages. When I went back again after another miscarriage in December 2015, the GP finally referred me to the gynecology team who deal with recurrent miscarriages with the NHS. They sent me for the tests below which came back clear.
All the following tests came back clear:
Pelvic Ultrasound- Uterus
Ovulation
Hormone Levels
Blood Clotting Disorder Tests
When I was going through my previous miscarriages I was at the EPU (emergency gynecology unit) and there was a Senior Research Nurse there and luckily I got to meet her otherwise I would never have even thought of or discovered this. She mentioned they are doing a study with the NHS to see if Thyroid antibodies are linked with miscarriage. I quickly said 'oh no, my thyroid level is fine as I had it checked'. She said 'no dear, you could still have elevated thyroid antibodies with normal overall TSH level'.
She also asked me to ask the GP to be referred to the endocrinologist. So I went back to my GP and I said, "I was encouraged to get the thyroid antibodies test done." To my surprise they came back elevated. They also referred me to the endo which I requested, the appointment was 4 months away. But I got there.
I went back to the GP who refused to treat me due to TSH being normal range which i understand as that is the guidelines. I went back with the NICE guidelines but they said it didn't apply to my case.
SO I sat here everyday and researched and discovered there is a BIG link between these antibodies and miscarriage.
The only test that came back NOT clear was the thyroid antibodies so it had to be this I thought. I searched for private endocrinologist through thyroid UK, I was so lucky to find one who prescribed me a low dose 25mcg on Levothyroxine because I kept being told my antibodies. I was advised by many GPs and this specialist to also add aspirin to this.
I started doing the above and two weeks later I was pregnant! I have never made it to 7 weeks for a very long time. I have a scan on Friday to detect a heartbeat. I know it could go either way which I was told. I am still preparing myself at the back on my mind to miscarry so it wont come as a shock if I do. On the other hand, I am trying to remain positive.
So 4 months have passed and my NHS endo appointment arrived today! I told him my history of miscarriages and elevated thyroid antibodies and all other tests are all clear.He knew of another lady who he saw with the same situation. He said I guarantee you the thyroid antibodies are causing the miscarriages. He knows his stuff! I said 'really? I knew it' as I started to cry. I had to do all the backbone research work myself and could have saved all my pregnancies. I did get help from the research nurse who suggested the antibody test in the first place which was a big stepping stone.
This endo (NHS) knows his research and says in America they treat this which is what I read. He prescribed me thyroxine without question straight away after hearing my case. So here I am today and I have finally got a prescription on the NHS of 50mcg a day! It took months but I got here.I got a diagnosis and a treatment plan and monitoring.
I don't have to keep paying for private consultants and prescriptions anymore and everything is done and monitored by the NHS now. I feel whole lot better.
He said he will speak to the obstetrician and negotiate a treatment of steroids (think they lower the antibodies), aspirin and thyroxine if I miscarry again (I hope I don't and I have this baby).
Right now I have started the 50mcg levothyroxine and 75mcg of aspirin so hope just this helps.
(This is specialist advice given to me on my individual case please do not follow anything without consulting your own GP.)