Thyroid in pregnancy

[Anamikamishra21]

My T3 is 216 T4 is 12.6 and TSH is 3.68 in pregnancy .Is it hyper or hypothyroidism

[Marz]

Do you mean 2.16 for the T3 ? Also ranges would be helpful as they vary from lab to lab ....

[TSH110]

Hypothyroidism as the TSH is elevated and telling the thyroid to make more thyroxine so it is not making enough (hypo = under ie under active) TSH under 1 is preferable. There was an article about hypothyroidism in pregnancy on a post here I will try and find it and post it here for you

It might have been this one:

healthunlocked.com/thyroidu...

Your TSH indicates you have subclinical hypothyroidism it would be worth asking for levothyroxine treatment to bring the TSH down. I am not so well upon T4 and T3 but you need to add the numbers in brackets after the value. If you don't have them ask for a print out with ranges from your surgery. Pop them on here as suggested by Marz

[Anamikamishra21 in reply to TSH110]

But my doctor suggested hyperthyroidism coz of high T4 and advised me to lower iodine content in food

[Goodlife1 in reply to Anamikamishra21]

Can you post the ranges for each result to help clarify where your results are in the lab ranges as this specifically helps identify issues? However a tsh of 2 or below is recommended in pregnancy. This would suggest that your doctor should prescribe thyroid hormone or increase thyroid hormone if you already take it.

[Angel_of_the_North in reply to Anamikamishra21]

Seems very odd given TSH level (and iodine was used as a treatment for hyperthyroid for years). Can't tell without lab ranges. In most UK ranges, a FT4 of 12.6 woudl be right at the bottom of the range. If you really are seeing over range FT4 and FT3 with such a high TSH, I'd ask for a referral to an endo.

[TSH110 in reply to Anamikamishra21]

That is odd, if you were hyper your TSH ought to be be very low not at nearly 4!

[CSmithLadd in reply to Anamikamishra21]

Find a knowledgeable doctor who knows how to keep your thyroid exactly as it should be during your pregnancy. What needs to be adhered to changes throughout.

You see, all bets are off when it comes to pregnancy -- the rules for treating hypothyroidism are not quite the same as compared to when not pregnant. In pregnancy, the demand on the thyroid is about 50% more than usual. So is the demand for iodine.

Please find a doctor who knows what is happening to your body. The one you mention here has no clue as to what to do for you. That, in itself, is dangerous to you and to your baby.

Everything you need to know is in the medical journal below, "2017 Guidelines of the American Thyroid Association for the Diagnosis and Management of Thyroid Disease During Pregnancy and the Postpartum":"

online.liebertpub.com/doi/f...

Please read it over carefully. Compare what the Guidelines are to what your doctor stated. Then get to someone who already knows these things.

Don't wait. Do it now.

[Sedum]

Long time ago now... but my goitre started to develop during my second pregnancy. I didnt know then that it really indicated to some mineral/vitamin/nutritional deficiency. It taught me over the years that doctors and consultants really knew very little that helped, despite a growing swelling they said levels were normal.

[sue_b]

Copied from the article linked above by TSH110,

'premature delivery, abnormal birth weight and suboptimal offspring neurodevelopment. '

My daughter had these birth issues and has Specific Learning Disorders, Dyslexia, Dyspraxia and Dyscalculia. Also, she has poor thyroid function.

I beleive my hypothyroid issues started during pregnancy but was not diagnosed until 14 years later.

[SilverAvocado]

Unfortunately we can't tell anything without the ranges. The NHS range in my area for freeT4 is about 12-22, so yours would be bottom of the range. But it sounds like your doctor thinks it's very high? If your T3 is freeT3 the number doesn't make sense, as it's extremely high. It might be 2.16?

If it is your whole set makes sense, because the two frees are very low, and the TSH is quite high. This all points towards hypo. But because your doctor thought you were hyper there may be more to the story? Or your doctor may know nothing

[Clutter]

Anamikamishra21,

Please ask your GP for the lab reference ranges for your results. TSH 3.68 is high and indicates hypothyroidism. During 1st trimester it is recommended that TSH should be 0.4 - 2.5 and during 2nd and 3rd trimesters 0.4 - 3.0 otherwise there are increased risks of miscarriage, pre-term birth and post partum psychosis.

Without the lab ref ranges we can't tell whether your T4 and T3 levels are low, medium or high.