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01-18-2013 at 2:15 PM
luvmybaby2...
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luvmybaby28 is not online. Last active: 05-04-2013, 11:25 PMBronze

hypothyroid - questions

I posted before about being hyopothyroid and I appreciate the responses.  I just have another questions because none of the Drs I talk to have any idea how to handle thyroid and pregnancy.  I already have one child and didn't think I would be freaking out with this pregnancy, but I am. 

I also had thyroid cancer and I increased my dose from 1.25 to 1.37 as soon as I got a positive pregnancy test.  At 8 weeks my tsh was 2.7 and I asked to increase the meds so the tsh would stay under 3 and they said no.  So I said ok I wnt bloodwork at my next visit.  So I had bloodwork at 13 weeks and my tsh is now a 6.  She was going to up my meds from 1.37 to 1.5, but now says that 1.75 will be better.

I need some reassurance the having a tsh of above 2.7 after 8 weeks will not harm the baby.  I googled and tons of things come up about even slightly high tsh while in the first trimester.  Wouldn't the baby take what it needs and then I would feel crappy because of that?  I don't care that I have felt crappy, I just can't stand to think that the baby wasn't getting the thyroid hormone that they needed. 

 
01-18-2013 at 2:34 PM
tokenhoser
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tokenhoser is not online. Last active: 05-19-2013, 4:38 PMPlatinum

My TSH hit 6 before my last dose adjustment. The bad effects you can read about on the internet are mostly from pregnancies where the hypothyroidism was not treated at all; a few weeks at a slightly elevated TSH will have no effect at all.

I'm sure your baby is fine.

01-18-2013 at 2:42 PM
luvmybaby2...
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luvmybaby28 is not online. Last active: 05-04-2013, 11:25 PMBronze
tokenhoser:

My TSH hit 6 before my last dose adjustment. The bad effects you can read about on the internet are mostly from pregnancies where the hypothyroidism was not treated at all; a few weeks at a slightly elevated TSH will have no effect at all.

I'm sure your baby is fine.

thank you so much for the reply, I am a mess and was up all night last night.  My tsh jumped to a 7 with my son and he is now 2.5 and perfect, but I had to read about high tsh during first trimester and studies linking it to low iq/etc.  I can't imagine them isolating that one variable and deciding that is what led to a low iq, I just hate to think the baby was waiting there for the thyroid hormone to come and it wasn't coming to them for proper brain development.

I know that all drs, even good ones only adjust the dose every 4-6 weeks so that must mean many women are hypo during some of that time.

I am now worried that jumping from 1.37 to 1.75 will make me hyper which also increases the chance of miscarriage, but the dr said they will check the levels in 3 weeks and to call if I am having palpitations.

 
01-18-2013 at 3:28 PM
MelTwe
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MelTwe is not online. Last active: 05-19-2013, 1:54 PMNewbie

Areyou being monitored by an endocrinologist?  My OB said he could monitor me, but I already am established with an endo and felt more comfortable to have Her do it.  Also the recommended  guidelines for monitorIng your thyroid ofter very depending on what specialty of the Dr.  For example my OB says that it is recommended for OBs to check bloodwork once per trimester, where my endocrinologist wants to test more frequently.

 I had RAI due to Graves' disease and am on 137mcg daily, with an extra pill 1 day a week.   So I have a slightly different situation.  My reference range on my blood work shows a 2nd tri pregnancy range of 0.55-2.73.  I've been fairly easy to regulate so they have not had to increase my dose at all beyond 1st tri.  I do get bloodwork every 6-8 weeks for monitoring.

I wouldn't worry about the increased dosage, I think it's safer for pregnant women to be slightly hyper, rather than be hypo.  So as long as they recheck you in a couple weeks to make sure you're not going too hyper you'll be fine.  

 And try not to google effects as most of what you'll find are worst case scenarios.  Most of the time there isn't an ill effect if your levels fluctuate temporarily.   My endo explained to me that the baby gets they're hormone first, which then makes you end up hypo, so there's probably more of an effect on you than the baby.


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01-18-2013 at 4:32 PM
shainatay4
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shainatay4 is online. Last active: 05-19-2013, 9:36 PMNewbie
I think you should be fine. They just adjusted mine because at beginning of pregnancy everything was fine i got my thyroid checked and i was all the way up to a 9 because it changed so much. All they do is change your medicine and keep and eye on it to try and make it as close as they can to the right medicine to help with the thyroid. She was not concerned all just said we are changing you medicine. Hopefully this can help you get back some energy. So i wouldn't be freaked out just keep and eye on it and go from there 
 
01-18-2013 at 6:26 PM
MommyLizzy
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MommyLizzy is not online. Last active: 05-17-2013, 8:54 AMBronze

You should be seeing an endocrinologist. Especially since it was cancer.  I get my blood work done every 4 weeks.  So far they have only had to change it once, from 150 to 175.  Don't worry yourself to much, the extreme cases you read on the internet are normally from people who didn't know, or didn't treat thyroid problems.

I had/have again thyroid cancer. If you want to PM me at all with any questions feel free.


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01-19-2013 at 5:05 AM
StarshineR
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StarshineR is not online. Last active: 02-01-2013, 10:12 AMNewbie

You should tell your doctor your concerns directly and ask whether they can refer you to someone who's more experienced in cases like yours. A good doctor will not be offended if you ask that question, and a doctor may in fact *know* somebody who would be more helpful! It's better than going in blind! You can still keep this doctor as your regular doctor, but just go to the other one every so often. It's not a bad thing to get a second or even a third opinion. Sometimes, such doctors are available in hospitals rather than clinics - they are more than just regular GPs, but specialists. You will need a referral from your regular doctor for such appointments.

You might feel better if you do this, because rest assured that there are such doctors out there! It's worth it to find one.

Don't consult Dr. Google. He was not trained at a medical institution of higher learning, and doesn't have a real medical license.  

 
01-19-2013 at 11:36 AM
tokenhoser
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This isn't a complicated condition. It doesn't require a specialist, although it seems like Americans are more likely to see a specialist for everything. All it requires is regular bloodwork and adjusting your synthroid dose.
01-19-2013 at 12:29 PM
MommyLizzy
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tokenhoser:
This isn't a complicated condition. It doesn't require a specialist, although it seems like Americans are more likely to see a specialist for everything. All it requires is regular bloodwork and adjusting your synthroid dose.


Treating someone with a history of thyroid cancer does require a specialist. It's more then just blood work, its thyrogen injections, petscans, body scans etc. Thyroids can also grow back in some cases and it needs to be monitored closely.

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01-19-2013 at 6:09 PM
southernmo...
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southernmommie is not online. Last active: 05-13-2013, 10:23 PMNewbie
First of all, if your doctors have no experience working with pregnancy and thyroid disorders find one that does. It is very important. Especially since your situation extends beyond the normalcy of hyperthyroidism/hypothyroidism. Now you need to see an endocronologist who does have experience working with these and pregnancies.

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