Ovulation and hypothyroidism?: So as part of my... - Thyroid UK

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Ovulation and hypothyroidism?

Kiwiq2019 profile image
5 Replies

So as part of my period pain investigations the gp has had me have a few blood tests over the last few months. So this week I got my progesterone levels checked and it showed I am ovulating. We avoided ttc this month due to my recent diagnosis however because I am ovulating I'm guessing the thyroid issues arent the reason why I haven't conceived so far?

Does anyone know whether that would be the case? Obv I need to be healthy before ttc again but now I'm thinking something else is going on not just the thrypid.

Also does anyone have any idea about lh and fsh ratios? Thanks

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Kiwiq2019 profile image
Kiwiq2019
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shaws profile image
shawsAdministrator

It is an anxious time when trying to become pregnant. These are two links which may be helpful. I hope the first doesn't worry you too much but she delivered safely at her next pregnancy.

hypothyroidmom.com/saving-b...

She also started the 'hypothyroidmom' website.

ww.btf-thyroid.org/information/leaflets/38-pregnancy-and-fertility-guide

SlowDragon profile image
SlowDragonAdministrator

Looking at previous posts you are only two weeks into starter dose of Levothyroxine.

Have you got dose increased to 50mcg yet?

Bloods should be retested 6-8 weeks after each dose increase

Until TSH is stable under 2.5 and FT4 in top third of range it's best to wait before trying TTC

Obviously essential to regularly test folate, B12, ferritin and vitamin D

Good levels of folate and B12, especially are essential for any baby's neurological development.

The aim of Levothyroxine is to increase the dose slowly in 25mcg steps upwards until TSH is under 2 (many need TSH significantly under one) and most important is that FT4 in top third of range and FT3 at least half way in range

All four vitamins need to be regularly tested and frequently need supplementing to maintain optimal levels

NHS guidelines on Levothyroxine including that most patients eventually need somewhere between 100mcg and 200mcg Levothyroxine.

nhs.uk/medicines/levothyrox...

Also what foods to avoid (eg recommended to avoid calcium rich foods at least four hours from taking Levo)

What vitamin supplements do you currently take?

link about TTC

verywellhealth.com/infertil...

Pregnancy guidelines

thyroiduk.org.uk/tuk/about_...

gp-update.co.uk/files/docs/...

See pages 7&8 states clearly that Levothyroxine should be increased by 25mcg as soon as pregnancy is confirmed

btf-thyroid.org/images/docu...

SlowDragon profile image
SlowDragonAdministrator

On only 25mcg or even on only 50mcg it's not uncommon for TSH to have risen, or certainly not dropped yet

Standard starter dose is 50mcgs.

Your high TPO antibodies confirm you have Hashimoto's

Have you had coeliac blood test yet?

While still eating high gluten diet ask GP for coeliac blood test first or buy test online for under £20, just to rule it out first

Assuming test is negative you can immediately go on strictly gluten free diet

(If test is positive you will need to remain on high gluten diet until endoscopy, maximum 6 weeks wait officially)

Trying gluten free diet for 3-6 months. If no noticeable improvement then reintroduce gluten and see if symptoms get worse

chriskresser.com/the-gluten...

amymyersmd.com/2018/04/3-re...

thyroidpharmacist.com/artic...

scdlifestyle.com/2014/08/th...

drknews.com/changing-your-d...

restartmed.com/hashimotos-g...

NWA6 profile image
NWA6

I never stopped ovulating when very Hypo, I felt every ovulation, I knew which side was ovulating as it was painful and my periods were sore and heavy. Then I went through a hyper phase and my periods stopped for 3mths. It’s more common for those with HYPER to not have periods. I’m not sure of the exact reasons why it’s more difficult to get pregnant but it’s more that it’s harder to stay pregnant when Hypo.

Serendipitious profile image
Serendipitious

Have a read of The Period Repair Manual by Dr Lara Briden. Makes everything so easy to understand. How to use use a thermometer to track ovulation and how to influence ovulation from a functional medicine approach. Interesting fact for me is that it takes 100 days for a follicle to reach maturity so if you’ve been stressed for example it explains why if you start taking the right supplements you’ll need to wait 3 months to see results. Or even if you’ve been on the pill. The likes of Selenium, B6 and Magnesium play a big part in producing healthy follicles. I wish this book had existed years ago. Good luck.

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