Hello! I am currently undergoing FET medication just stopped noretheristone and i am on buseralin. I am starting oestrogen and progesterone next week. I had a TSH test on the 12th august and came back as 2.1 mU/L. My clinic didnt do anything about it and i saw the results yesterday and when i asked them they said that we dont need to do anything about this as its below 2.5. But as inread oestrogen and progesterone increase the TSH and i also didint have the test in the morning. I had private online consultation with an endocrinologist and he suggested to start thyroxine as my levels should be below 2 and closer to 1. With regular testing of course. Does anyone know how i should get it? Would the GP prescribe it? And my embryo transfer is in 3 weeks so i am not sure if there would be enough time to take effect!he recommended 50mgc per day. Any advice would be greatly appreciate it
TSH and IVF FET : Hello! I am currently... - Thyroid UK
TSH and IVF FET
Oh hun what a stressful time for you 😞 can you put off your embryo transfer? You really need to get full thyroid testing. FT4, FT3. And testing for antibodies to show if you have Hashimotos or not, Tpoab and TGab
Only when you have those results can you determine if you need thyroxine replacement and a starter dose of 50mcg and at least 6wks before testing again and perhaps add more after that and then 6wjs on that dose before testing again. Repeat until numbers or symptoms are optimal.
All in all you need to allow about 3mths to get ready for growing babies 😞
Thank you NWA6 but postponing is not an option currently as i am already on the meds. Will try and see what happens.
Presumably you have had vitamins tested recently?
Recommend getting FULL thyroid and vitamin testing privately ASAP BEFORE Starting levothyroxine
For full Thyroid evaluation you need TSH, FT4 and FT3 plus both TPO and TG thyroid antibodies tested. Also EXTREMELY important to test vitamin D, folate, ferritin and B12
Low vitamin levels are extremely common, especially if you have autoimmune thyroid disease (Hashimoto's) diagnosed by raised Thyroid antibodies
Ask GP to test vitamin levels
Recommended on here that all thyroid blood tests should ideally be done as early as possible in morning and before eating or drinking anything other than water .
Last dose of Levothyroxine 24 hours prior to blood test. (taking delayed dose immediately after blood draw).
This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip, best not mentioned to GP or phlebotomist)
Is this how you do your tests?
Private tests are available as NHS currently rarely tests Ft3 or thyroid antibodies or all relevant vitamins
List of private testing options
thyroiduk.org/getting-a-dia...
Medichecks Thyroid plus vitamins including folate (private blood draw required)
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Thriva Thyroid plus antibodies and vitamins By DIY fingerpick test
Blue Horizon Thyroid Premium Gold includes antibodies, cortisol and vitamins by DIY fingerprick test
bluehorizonbloodtests.co.uk...
If you can get GP to test vitamins and antibodies then cheapest option for just TSH, FT4 and FT3
£29 (via NHS private service ) and 10% off if go on thyroid uk for code
thyroiduk.org/getting-a-dia...
monitormyhealth.org.uk/thyr...
Medichecks - JUST vitamin testing including folate - DIY finger prick test
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Medichecks often have special offers, if order on Thursdays
Thank you, yes i have tested all the others and vitamins as well and there are in normal range. But i didnt do the tsh early in the morning.
I will go and do the all the test tmr and talk to my gp and send the recommendation of the ivf endo. Thank you its extremely helpful.
What were actual vitamin results and ranges?
Ferritin 23 ng/ML (10-120)
Vitamin d 30 (9.5 -555) i had a deficiency before and i am taking vitamin d supplements 100 ug per day for the last 2 years.
B12 450 (190-959 pg/ML)
And i dont have the folate but i am taking 800 mg per day for the last month and 400 mg for the last two years while TTc.
I am going to repeat them
Vitamin D - are the units nmol or ng/ml?
If in the uk Vitamin D is usually measured in nmol
Standard range is under 25nmol is deficient
Under 50nmol is insufficient
Around 75nmol is a good level
If ng/ml around 40ng/ml
Vitamin is ng/ml i had it in cyprus.
So ferritin range may be different too
Is also in ng/ml
Ferritin looks low.
humanbean may pop along to comment
Ask GP for full iron panel test for anaemia
cdn.mdedge.com/files/s3fs-p...
Some experts believe that in pregnant women who are not anemic, a serum ferritin level between 15 and 30 ng/mL may also indicate iron deficiency. If the pregnant woman is anemic and does not have another cause of the anemia, a serum ferritin level less than 40 ng/mL is indicative of iron deficiency.
Will do! Thank you so much
I will talk with my GP first thing in the morning and ask for all the tests to be done if they refuse i will do them privately as my transfer is the week 23rd and in 3 weeks and i need to address this. Thank you so much for all the advice. Its massively appreciated
Well my Gp was very helpful and they ate happy to prescribe thyroxine only if my IVF CLINIC advices this. However they dont do anything if TSH is below 2.5. Hence i can start taking aNything and i can not take a private prescription as i need to be monitored and its against the advice of my ivf clinic.
I am having all the tests done again next monday including vitamins and iron panel.
I think it might be late for this transfer as it appears as even if my levels are above 2.5 by end of next week and they start thyroxine i am having the transfer 10 days later and dont know if its enough time to make a difference
Hi StressedIRIS what happened with your TSH and FET if you don’t mind me asking? I’m having problems with mine after starting the oestrogen. TSH has risen by 1.5 in 3 days!
Hello! I was put on thyroxine lower dose (50mcg) and my endo adjusted the dose with an increase of 25 mcg as the TSH increased with oestrogen. Your TSH should be below 2 ideally closer to 1. You should measure the TSH 5 days before embryo transfer to see that all is well and ideally 8-10 days after! I hope that helps.
Hi StressedIRIS thanks. My transfer is supposed to be this thurs so in 2 days and it’s doubled again and is now 5. I really don’t know what to do. My consultant didn’t reply back to me after I contacted him this afternoon 
x
I am so so sorry! This is slightly weird for your TSH to double and increase so much. Is there anyone reviewing your results? TSH of 5 is slightly inhibiting for transfer. It should be below 2.5. What about your clinic? Can they increase your dose?
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