Early pregnancy and elevated TSH levels

[Masief]

Hi everyone, as soon as I got my BFP I called my GP surgery to get my thyroid test booked in. I had my results back today and my levels are high. From 1.63 in November to 6.3 or something today. I am speaking to my GP tomorrow and hopefully I will get a prescription asap. Anyone not on thyroid medication I wanted to flag that it's worth getting this tested. For those that have been in a similar position, was everything ok? Can't help but worry as my levels have never been so high. I had my test first thing in the morning after fasting! So worried now xx

[Masief]

I should add I am an IVF patient had a natural FET and have been taking cyclogest pessaries (progesterone). Not sure if this has elevated my TSH as well!

[Hidden]

I had a TSH of 8.9 during my second pregnancy and the doctor's didn't give a fig. I wasn't on any levo at all until 3 years later.

My tiny hellion is now 2 and full of energy!

You absolutely should push for your levo increase but I am testiment that a high TSH doesn't always spell disaster.

[Masief in reply to Hidden]

That's super reassuring to hear! I've had to be pushy with my surgery and I think they'll agree to giving me some levo as there's a steep increase. Crazy how this is so overlooked. Thanks so much for your response x

[SlowDragon Administrator in reply to Masief]

Pregnancy guidelines

thyroiduk.org/having-a-baby-2/

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

VERY IMPORTANT.....See pages 7&8

btf-thyroid.org/Handlers/Do...

[Masief in reply to SlowDragon]

Thanks!

[SlowDragon Administrator in reply to Masief]

Insist thatGP tests vitamin D, folate, ferritin and B12 plus thyroid antibodies

What vitamin supplements are you currently taking

[Masief in reply to SlowDragon]

I had b12 and vitamin d tested recently and vit d was 72nmol. I am taking pregnacare and 4000iu vit d supplememts too! Thanks for your help x

[SlowDragon Administrator in reply to Masief]

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 folate and ferritin levels plus thyroid antibodies

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

In current situation testing might be sooner

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)

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 antibodies and vitamins

medichecks.com/products/adv...

Thriva Thyroid plus antibodies and vitamins By DIY fingerpick test

thriva.co/tests/thyroid-test

Thriva also offer just vitamin testing

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 down to £26.10 if go on thyroid uk for code

thyroiduk.org/getting-a-dia...

monitormyhealth.org.uk/

Also vitamin D available as separate test via MMH

Or alternative Vitamin D NHS postal kit

vitamindtest.org.uk