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Dear Doctor, It has been 3.6 year to our marriage and we are trying for a baby since last two year and from last eight month we are consulting with Gyno, in our initial test my wife is diagnosed with hypothyroid (TSH Level 5.255) so our doctor prescribed us Thyronorm 12.5 mgc. Again after 3 month we did TSH test and this time TSH level has been decreased to 4.861. Meanwhile she asked us for several test which includes: Semen Analysis, follicular studies and HSG however she never asked for FSG test. Each of these test are normal. After 6 month we again did TSH test and this time TSH level has been increased to 7.442. After that, I have taken consultation from other doctor and she asked us to do AMH and TB Gold test. Here my concern is no one is giving importance to TSH level and asking for different test however as per my research TSH level should be in 1 to 2 range to get pregnant successfully. So, isn't doctor should focus on thyroid treatment before going for other test. It would be very helpful for us if you can provide us your valuable comments on this. Also could you please suggest correct does of Thyronorm.
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Mr. lybrate-user, It is possible that the doctors want to first confirm if any of the other hormonal deficiency are existing, which may be a hinderance in getting pregnant. I do agree with your observation that TSH value should have been looked at by at least one of those doctors. It is essential to bring it <2 to get conception. Plus American Thyroid Association recommends levels in the range of 0.1 to 2 mU/L before conception and similar values to be maintained during pregnancy so as to ensure proper fetal brain development in first 3 to 4 weeks and later part of pregnancy for proper growth. Thanks.
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