Has his and pregnancy

[Mich87]

Anyone on here with hashimoto and a successful pregnancy drama free?

Or needed medication to maintain pregnancy??

Ivf etc?????

[EbonyEvans]

No pregnancies here. But said female should be monitored closely first trimester and a month or three before planned conception as your doses need to be reduced / adjusted. Good luck if it’s you considering / trying. 💜

[humanbean in reply to EbonyEvans]

If TSH is in the upper half of the reference range then Levo dose should be raised to bring TSH down to the lower half of the reference range, or even below the reference range if that is necessary for the patient to feel well. This will increase the chance of conception, and help to maintain a healthy pregnancy.

It would also be a very good idea to go on a rigorous gluten-free diet before trying to conceive in the hope of reducing the numbers of thyroid antibodies (there are no guarantees it will work, but it helps a lot of people).

Also, anyone who is hypothyroid or is heading in that direction really should try and get nutrients up to optimal before conceiving and try to keep them there throughout pregnancy. Low nutrients are very common in hypothyroid people because of low stomach acid and poor absorption of nutrients from food. The ones that often get a mention on this forum are vitamin B12, folate, ferritin and iron, and vitamin D, but I suspect that low levels of any nutrient will adversely affect the chances of conception and the chances of maintaining a healthy pregnancy.

Low nutrients in the mother can cause severe problems in the foetus.

myvmc.com/pregnancy/under-n...

academic.oup.com/epirev/art...

There are lots more links that are worth checking out on the subject. I did a search for "disease associated with under-nutrition before and during pregnancy".

[Mich87 in reply to humanbean]

Thank u

I'm going to try and go gluten free ... going to be a shock to the system lol

[Katepots]

There are lots of successful pregnancies with Hashis. Some important factors below.

Absolutely need your TSH monitored throughout pregnancy.

First trimester 0.1-2.5 mIU/L

Second trimester 0.2-3.0

Third trimester 0.3-3.0

Massively important to get iodine levels checked as you need an increased amount during pregnancy for feral development and we are deficient in the UK. Deficiencies can cause intellectual deficits and pregnancy loss.

The Wirld Health Organisation recommends 250 ug/d for pregnant and lactating women.

Important not to over supplement though. Talk to Dr.

Big link to miscarriage and unbelievable it's not tested as standard here!!

Are you gluten/casein free? Important to get your antibodies as low as possible. A paleo diet helps with this. Although saying that nightshades are often a problem too.

Get folate,ferritin, b12 and Vit d tested Don't go on Dr, get copy of results and check yourself as what they say is in range most often is lacking as GP's don't want to supplement half the nation.

Good luck! Hope I haven't freaked you out but important info.x

[Mich87 in reply to Katepots]

Thanks and I've also been adding idozined salt to my meals now too

[Katepots]

Ps also check selenium levels checked. Helpful with hashis.

Only supplement if needed though as selenosis is common for people just taking willy nilly!

[Mich87 in reply to Katepots]

Selenium is also in my pre natal vitamins - also been snacking on Brazil nuts to help

[PiggySue]

Hi

I have hashi's, and had a singleton, very easy pregnancy and then a twin pregnancy without complications (no more than normal for twins). I was only aware of the hashi's when the twins were about 5 years old, although most of the symptoms had been there since the birth of my first. Therefore I was untreated through both pregnancies.

Best of luck.

[Mich87 in reply to PiggySue]

So ode to hear a success story!! Thank u!!

[Mich87]

Nice *

[Alexandra987]

Hi, I have Hashi's and am currently 26 weeks pregnant. I was very lucky and fell pregnant the first month of trying and (so far!) have had no complications at all.

I discussed pregnancy with my GP before trying and we worked on getting my TSH and levels optimal first. I was then closely monitored with blood tests during the first trimester and my levo was doubled. I was also referred to an endocrinologist who was lovely and confirmed that all levels were optimal and my pregnancy is considered low risk. I've felt really good all the way through, the was very tired in the first trimester.

From my understanding once I have the baby my levo dose will go back to pre-pregnancy levels and will be checked 6 weeks on to see all is well.

Best of luck to you if you're starting this journey, it's an amazing ride.

[Mich87 in reply to Alexandra987]

Love this!! Thanks