We have been trying to conceive since March 2016 - Fell pregnant in June 2017 but unfortunately had a missed miscarriage at 12 weeks.
We have been unable to conceive since despite clomid. Last year my fertility consultant noted my TSH was 2.5 and said it was a little high - Wrote to my GP saying he was considering ‘a course of levothyroxin.’ That didn’t happen however, I assume because my TSH was still in standard range.
Earlier this year in June I asked my doctor to run standard fertility tests as encouraged by my acupuncturist and needed by our IVF clinic prior to starting IVF - Including thyroid. My results were:
T4 - 32
And i was referred to an endo with no medication, as my TSH had previously been more normal.
I finally saw that endo at Milton Keynes hospital in November 2019 - He said I had a diffuse goiter and repeated my tests and said he’d call me in 2 weeks.
He didn’t call, but a letter showed up at home that has been sent to my GP saying:
My TSH is 3.76, and T4 is 11.1. He said my TPO antibodies are +ve but TRABS are -ve, and that he is simply going to ‘wait and watch’ as TFT’s are back to normal.
I’m not entirely sure I follow what this exactly means, and I’ve thus far been unable to get hold of him or the patient pathway co-ordinator.
I’ve called our IVF clinic and they require TSH to be between 0.4-2.5, and it appears I’m swinging between the two.
I just feel a little abandoned with a ‘wait and watch’ policy when nobody has explained what is going on or why my thyroid is swinging all over the place. I’m still having symptoms etc too and gaining weight at a very depressing rate despite having a personal trainer and watching the calories!
Hoping you can point me in the right direction,
were all these tests taken at same time of day?
best time to see your highest TSH is by 9am, and on empty stomach.
but your TSH may be varying due to other factors (someone clever ll be along in a min)
Did the endo realise that this is prep for ivf?
Yes it was explained to him at length. Hmm!!
TSH taken in morning both times, one at beginning and one at end of menstrual cycle however!