Test interpretation please. : I got my test... - Thyroid UK

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Test interpretation please.

Suzanam profile image
5 Replies

I got my test printed. Both of them, so first of them was Tsh 5.62 miu/L T4 10.0 pmol/L

Second a month later tsh 5.39 miu/L T4 11.2 pmol/L I read on pregnancy forums that to become pregnant tsh shouldn't be higher than 2.5 is that true? What do you suggest? The test that I've done a year ago I remember only the tsh it was 6.3. Thank you!

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Suzanam profile image
Suzanam
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jimh111 profile image
jimh111

It would be helpful if you have the reference intervals (numbers in brackets) for these TSH and fT4 results. However, assuming they are typical they suggest you may be hypothyroid, especially if you have symptoms. I would expect you TSH to be higher with what are fairly low fT4 results. If you are following a strict diet this can cause your TSH to be lower than expected. As regards pregnancy TSH should be lower than 2.5 or 3.0 (advice differs) during pregnancy, so it make sense for your doctor to prescribe levothyroxine to see if your symptoms improve and whether you get pregnant. In any event once you conceive your TSH should be kept below 2.5 during pregnancy.

Bringing your TSH down to around 1.0 by prescribing is a safe and very cheap option. Given the possible improvement in your life it should at least be tried for a period of time. Take someone with you to the doctor and be a bit assertive.

shaws profile image
shawsAdministrator

Do you have the ranges of your results please. They are usually in brackets after the result. Thanks.

Reading a couple of your past posts it does sound as if you are undiagnosed hypothyroid.

Did the doctor test thyroid antibodies at all? If so and you have results post them with the ranges.

Suzanam profile image
Suzanam

I'm sorry but are the antibodies called different on the report cause I can't see anything about antibodies. The levels are for tsh 0.38-5.33 so mine are higher. And for the the levels are 7.0-16.0. So t4 ok. I'm not on special diet but I am trying to eat healthy to lose weight but it's not happening. Ive been told when I did my tests in another country that they would suggest treatment but I said I will do my test here because I live in UK now and I would need the prescription to be here. But the levels were 0.38-4.7, how can the normal levels for tsh be different in other countries. I'm sorry to bother with all these questions but don't know what to do next. The doctor that called wit the results said no further actions.

Clutter profile image
Clutter

Suzanam,

You should tell your GP if you are planning pregnancy. The TSH of women planning conception should be in the low-normal range 0.4 - 2.5 otherwise conception can be difficult and, if successful, risk of miscarriage is increased.

NICE recommends stabilising on Levothyroxine and referral to endocrinology.

cks.nice.org.uk/hypothyroid...

Management of primary hypothyroidism: statement by the British Thyroid Association Executive Committee

13. The serum TSH reference range in pregnancy is 0·4–2·5 mU/l in the first trimester and 0·4–3·0 mU/l in the second and third trimesters or should be based on the trimester-specific reference range for the population if available. These reference ranges should be achieved where possible with appropriate doses of L-T4 preconception and most importantly in the first trimester (1/++0). L-T4/L-T3 combination therapy is not recommended in pregnancy (1/+00).

onlinelibrary.wiley.com/doi...

Suzanam profile image
Suzanam

I have told my gp we are trying for a baby for 2 years now. I feel like the doctor is not listening to me. I'm sick and tiered of blood tests. I keep taking test so that they can tell me my levels are high but don't need treatment. Are there any private doctors on this website that can take patients in Milton Keynes area?

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