Thyroid UK

Hashimotos, Missed Miscarriage - looking for Endo - Maidstone / TW / Sevenoaks

Hi there. My GP is terrible. Told me I was fine to conceive... turns out my TSH was too high and I had a missed miscarriage at 12 weeks. I really can't do that again! So please, any advice would be really appreciated. Looking for an endo who also has reproductive / fertility interest to help me manage my conditions. Looking for Kent based endo - Maidstone / TW / Sevenoaks. One name came up - Sithara Perera - any dealing with her?

3 Replies

I hope you made a complaint - it won't bring the baby back, but it might help another woman avoid the heartbreak.

1 like

Welcome to the forum, Lifealicious1.

I'm sorry you miscarried. NICE recommends women planning conception should be referred to endocrinology for managment. Email for a list of member recommended endos.

It is recommended that the TSH of women planning conception and newly pregnant should be in the low-normal range 0.4 - 2.5. Dose is usually increased by 25-50mcg when pregnancy is confirmed to ensure good foetal development.

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).


Hi, I don't know if it is too late and I don't know how relevant it is either...the endo I saw at TW hospital was lovely and very informative, I can't say anything about a specific reproductive interest but at least he did mention to me on every occasion I saw him that it wasn't safe to conceive at that time based on my levels. Except the last when he said my levels were back to normal so I could if I wanted to if further tests (two, once every 2-3 months) came back normal. He was called Dr Masud Haq, he is the clinical lead there and he also does private work in TW by the looks of it (quick online search).

Whatever happens, good luck!


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