TSH?

[naushmoid]

Hi everyone..

My wife is 19 weeks pregnant and her TSH is 9.68 UIU/ML.. Can anyone help me how to control it and is there any problem in pregnancy?

[SeasideSusie Remembering]

Is she on Thyroid medication?

During pregnancy TSH should be below 2. 5 I believe. Clutter has lots of information about this.

Your wife should see her doctor urgently.

[naushmoid in reply to SeasideSusie]

Yes.. She is taking Thyronorm 100mg

[SeasideSusie Remembering in reply to naushmoid]

Make an urgent appointment to see the GP, if he doesn't know about hypothyroidism in pregnancy then insist he contacts an endocrinologist who does urgently. She needs to get that TSH right down. Google about hypothyroidism and TSH in pregnancy so you have some information to take with you.

I am sure a Clutter will be along to advise when she is around.

[naushmoid in reply to SeasideSusie]

Thank you Susie

[Clutter]

Naushmoid,

Your wife needs to increase Thyronorm dose to 150mcg and retest thyroid level in 4-6 weeks. The foetus has developed it's own thyroid gland at 12-14 weeks so will have been independent of maternal thyroid hormone since then.

During the first trimester TSH should be 0.4 - 2.5 and during the second and third trimesters 0.4 - 3.0.

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...

According to the ATA First Trimester TSH levels between 2.5 and 5.0 are associated with in-creased pregnancy loss

thyroid.org/patient-thyroid...

[naushmoid in reply to Clutter]

Thank you Clutter.. So she has to go for T3 and T4 test?

[Clutter in reply to naushmoid]

Naushmoid,

She can go for just TSH test if she wants.

[naushmoid in reply to Clutter]

TSH done yesterday and her TSH is 9.68 uIU/ml

[Clutter in reply to naushmoid]

Naushmoid,

Yes, you said in the opening post. It is far too high which is why I suggested she increase Thyronorm from 100mcg to 150mcg and retest in 4-6 weeks to check TSH is <2.5.

[naushmoid in reply to Clutter]

Ok..

[Marz]

healthunlocked.com/search/t...

Over 2000 posts on the very same important topic in the above link. Previous discussions on this Forum .... Hope you find some helpful pointers ....

[SlowDragon Administrator]

Essential to test her folate and B12

Both are essential nutrients for baby's early development

Also request vitamin D and ferritin too