Subclinical hypothyroidism, treatment and pregnancy

[diogenes]

This paper discusses T4 treatment in pregnancy and indicates a top TSH of 2.5 as a measure of adequacy

Identifying and treating subclinical thyroid dysfunction in pregnancy: emerging controversies

European Journal of Endocrinology

Authors: Inés Velasco and Peter Taylor

DOI: doi.org/10.1530/EJE-17-0598

[jimh111]

Not read the paper yet but very interesting. The general view seems to be that keeping TSH below 2.5 or 3.0 is only needed for patients with primary hypothyroidism, that 'healthy' subjects will have no problems. This is the current guidance. The odds ratios in this study show that 'subclinical hypothyroidism' should be treated if the woman is pregnant or planning to be. As well as avoiding a great deal of distress and disability it would save the NHS a great deal of money.

[Hidden in reply to jimh111]

My TSH has never risen much past two but I was hypo when pregnant and I am sure my childrens health issues are related as our some of mine. I was also low on ferretin, vit D and B12 it is a wonder we survived and have done as well as we have.

[shaws Administrator]

Thanks for posting and it will reassure women who are hypo and wish to become pregnant.