Thyroid UK
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3.96 TSH ?? optimal TSH level for TTC??

Can Someone advice me please ??

3.96 is the latest result( last month ) and I was told to do next test on December. Am not taking any medicine as I was told to stop .

When I asked my doctor about the level as I am on TTC , he says your level is normal and it won’t affect conceiving. But the google says level has be less than 2. He didn’t give any tablets and ask to wait for next test . What do I do ??

Did anyone conceived with my level ??

Thanks

13 Replies
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Your GP is sadly very ignorant of how to treat or evaluate hypothyroid

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Omg what do I do ?? Can I check with any other doctor in my GP, am so fed up . I keep saying 3 times and he keep saying it’s normal and this level won’t affect pregnancy or conceiving . Why on earth they don’t understand the pressure and stress we have on TTC and help accordingly

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Clutter has advice on high TSH and TTC

She will be along shortly I expect

Yes it should be below 2.5 or possibly below 2

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Ok thanks for that . I am going to book an appointment with other doctor, Can someone say what should ask or tell the doctor if she /he mention it’s normal . I think they are checking with the range which is (0.35-5.00) and keep saying it’s normal as my level is in range . How do I convince them to prescribe the medicine to low my level even more ??

Thanks

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Luv2017,

It is recommended that the TSH of women planning conception should be in the low-normal range 0.4 -2.5. Conception can be difficult >2.5 and when pregnancy is achieved having TSH >3.0 increases the risk of miscarriage. Levothyroxine should be prescribed to reduce your TSH <2.5. Dose is usually increased by 25-50mcg when pregnancy is confirmed to ensure good foetal development.

NICE recommends hypothyroid women planning conception should be referred to endocrinology. cks.nice.org.uk/hypothyroid...

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

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...

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Thanks so much ,, can I show this to my doctor if they ignore me again ?? How do I convince them ?? They say my level is normal for TTC

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Luv2017,

Your level is normal but not for a woman trying to conceive. Print off the BTA information to show your GP.

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Okay sure will do Thanks .. he knows very well about my TTC and keep saying this level won’t affect conceiving. Thanks so much . Will take a print out and show him.

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Luv2017,

Well, he's wrong. Show him the BTA link.

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Ok will do thanks 🙏

1 like
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Hey ya ,

Sorry do yoU have any link which shows the guidelines table for conception please so I can take a print out and show ?? I don’t know wether I am missing anything as I can’t see the guidelines , please pass it to me when you have a time . I am going to book an appointment on Friday so I will show to the doctor.

Thanks

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Luv2017,

What guideline table? I don't know what you mean. I posted paragraph 13 from the BTA Statement which relates to TSH levels during 1st, 2nd & 3rd trimesters.

1 like
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Okay paragraph 13 ? will check..Thanks for that

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