postpartum thyroid issues unanswered: hi guys I... - Thyroid UK

Thyroid UK

142,280 members167,648 posts

postpartum thyroid issues unanswered

Denide profile image
9 Replies

hi guys

I gave birth at the beginning of October and now dealing with symptoms of thyroid. Went to check my blood to see if my it is a good idea to increase my medication. I am right now using generic thyroid medication 75mg levothyroxine. I have beta thalassemia so my blood tests always come poor and docs tell me there is nothing to do. Eat more green leaves vegetables etc… I am having iron and still not doing great. My GP wrote “Denies any sx.” I have not understood what it is, if it means symptoms I definitely have symptoms. Do you have any recommendations? My doc said I need to have another blood test at the beginning of March and he will decide to increase or not. When my last adjustment done from 50mg to 75mg, it was really so hard and with the baby i don’t know if it is a great idea. Also during pregnancy one doc increase my dosage and I experienced great hair loss and alopecia. Another decrease it to 75mg everyday again. So it is a challenge for me. Do you have any good special doc in London you can recommend?

Written by
Denide profile image
Denide
To view profiles and participate in discussions please or .
Read more about...
9 Replies
tattybogle profile image
tattybogle

Gp comment ('borderline raised' ) sounds like your fT4 level is very near top of range , so an increase in levo dose would not be appropriate at the moment , and given that your TSH is below range, if your results are similar in 2 mths time, they would be asking you to consider reducing dose slightly, not increasing it.

but thyroid levels can wobble about for several months following birth .

so its probably best to 'wait and see' for a bit longer while things settle , rather than adjusting your dose just now .

what symptoms are you having ?

some symptoms of too little / too much thyroid hormone can be confusingly similar . so don't assume that feeling symptomatic means you need a dose increase , sometimes a dose reduction is needed.

Denide profile image
Denide in reply totattybogle

Thank you so much for your reply. i have never thought it is possible to go for reduction without going gluten free etc. It is good news if it is so. I feel inflammation all over my body, it is like arthralgia. I am going to see a chiropractor this week, it is that bad. Another symptom is the extreme morming fatigue.

tattybogle profile image
tattybogle in reply toDenide

. needing a reduction dose does not (necessarily) mean thyroid function is getting better , so it is neither good or bad news, it just means the dose we are taking is a bit high for our needs at present. Our needs change for all sorts of reasons ,for one example ~ alterations in other hormone levels ~ changes in estrogen level have a direct impact on how much thyroid hormone is bound to thyroid binding globulin. making more or less of it available to our cells .

eg. i used to need 150mcg levo for 17 yrs before i hit menopause ... following menopause (presumably with lower estrogen levels) that dose gradually became too much , and i now only need to take around 100 -125mcg... it doesn't mean my thyroid is any better able to produce the T4/T3 i need than it was before . I have autoimmune hypothyroidism that stated following a birth and unfortunately didn't get better by itself as some cases of post partum can , and now 25 yrs later it's likely that my thyroid is in worse shape than it was when i took 150mcg, due to ongoing autoimmune damage ...... it's just that my body doesn't need that much anymore. i have less muscles for a start, and my life is nowhere near as physical as it was back then

but it's early days for you, post partum thyroiditis can resolve within a year ( or so they say . mine didn't though )

Denide profile image
Denide in reply totattybogle

It explains why.. Unfortunately I was diagnosed for Hashimoto thyroid 14 years prior. it is not pregnancy related but maybe pregnancy changed things. I have had really weird symptoms.

humanbean profile image
humanbean

"Denied any Sx" is an abbreviation for "Denied any symptoms". There are other similar abbreviations in use in medicine.

Rx = Prescription (The R refers to "recipe" which was the word used for Prescription in the 16th century. Medicine is not a progressive career in many ways. *rolls eyes*)

Sx = Symptoms

Dx = Diagnosis

Hx = History

PMHx - Past Medical History (may be used with or without the x)

This list is NOT complete.

I have similar comments about my various medical conditions in my medical records, despite the fact that symptoms have been very common.

I have wondered why doctors write this nonsense on medical records when the patient clearly has several or many symptoms. I can only assume that it is supposed to head off any criticism in future if the patient makes a complaint. GP medical records are supposed to be true. But if the doctor writes what they want to be true the patient has no proof of their own that would be believed, or would be assumed to be exaggerating because the doctor (allegedly) didn't find anything.

I suspect - but have no proof - that doctors learn some symptoms of diseases but if a patient mentions one they don't know about that it might cause them to say the patient denied symptoms even though they have several symptoms.

One example that affects quite a lot of us with thyroid disease is plantar fasciitis. It causes the soles of the feet and the ankles to become extremely stiff and sore particularly first thing in the morning when just getting out of bed. (It usually eases as the patient walks around - until the next morning when it repeats.) One member has described a doctor she saw laughing himself silly when she described her sore feet. I wonder if that doctor wrote "denied any symptoms" when it was the doctor himself denying them, not the patient.

Denide profile image
Denide in reply tohumanbean

I really dont understand this illness and why doctors think it is not affecting us in many ways. I did online consultation with a famous doctor and filled the form in detail. She just chit chat and i leave the consultation basically with nothing. I am thinking to use synthetics but dont know how. Thank you for the explanation of abbreviations.

Enuffisenuf profile image
Enuffisenuf

It might be worth getting your B12 checked.

Pregnancy causes B12 to drop, and if you had gas&air for the birth that can reduce it further.

Denide profile image
Denide in reply toEnuffisenuf

I was on gas and air for hours during labor, but it ended with an emergency C-section. I never thought they could be related. thank you for letting me know.🙏

Enuffisenuf profile image
Enuffisenuf in reply toDenide

Hopefully there isn't a problem, but better safe......

Not what you're looking for?

You may also like...

Sore thyroid/neck

Morning. Quick question if I may? Feeling good on levothyroxine 75mg, T3 5 mg and hrt. My only...
Foggyk profile image

Postpartum thyroid issues

Hello I initially discovered my thyroid was underactive after the birth of my son 4 years ago. I...
Meggy222 profile image

Thyroid issues

Hi, I wonder if anyone can help? A couple of years ago I began to feel ill. I had some symptoms of...

Help with thyroid issues!

Hi- I was undergoing treatment for Cfs but I truly believe it is something to do with my...
Dee8686 profile image

Thyroid levels postpartum

Hi everyone, this is my first time posting, although I'm an avid reader of all posts on a daily...
barbaradoll profile image

Moderation team

See all
helvella profile image
helvellaAdministrator
RedApple profile image
RedAppleAdministrator
SlowDragon profile image
SlowDragonAdministrator

Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them.

Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked.