Thyroid disorders in pregnancy Questions

Hello, Thanks for the query. The recommended TSH levels in pregnancy are as follows: 1st Trimester: 0.1 to 2.5, 2nd Trimester: 0.2 to 3.0 & 3rd Trimester: 0.3 to 3.0 mU/L. Looking at these levels, at 13 weeks, your level is high. There may be a need for a minimal dosage of Levothyroxine. You may check with your gynaecologist. Because it is vital to maintain those levels within specified range. Thanks.

lybrate-user, Thanks for the query. During pregnancy TSH level should be as follows: 1) First trimester - 0.1 to 2.5 mU/L, 2) Second Trimester: 0.2 to 3.0 mUz/L, 3) Third Trimester' 0.3 to 3.0 mU/L. Therefore present level has to be reduced <2.0 mU/L. Otherwise it will affect brain development of the fetus So please increase Thyroxine dosage by 50 mcg, per day to 87.5 mcg then check TSH after 4 weeks. If the desired level is achieved, then continue the same. If you have any doubts please come ba...more

13.9 it's very high it's severe hypothyroidism she requires to be started on medication for the same thyroid supplement please consult me online I will decide the dose after taking history
please consult me online for the same.

Hello Madam,
Agar aapka TSH 3.95 hain tho then aap ko dose bhadana hain, ye aapke pregnancy ke duration or aapke weight ke upar depend karta hain. 1st trimester mein TSH 2.5 se kam hona hain aur 2nd and 3rd trimester mein 3 se kam hona hain.
Please apne gynaecologist ko batayiye yaa mujhe privately consult keejiye, mein yaha open forum mein prescription nahi kar sakti.
Thank you

Mr. lybrate-user, Thanks for the query.
Usually following delivery requirement of thyroxine reduces. However, since now TSH is at 2.8 mU/L, (recommended range 32 to 4 mU/L), it necessary to continue the same dose. Further, she should check TSH levels periodically (once in 6 months). Please remember treatment of hypothyroidism is for lifetime. If you have any doubts please do come back. Thanks.

First preconception examination by Gynecologist for some reports, vaccinations and supplements. Then proceed and try for pregnancy by having intercourse around day of ovulation.

lybrate-user, Thanks for the query.
It is essential to maintain TSH in the following manner during pregnancy: 1st Trimester: 0.1 to 2.5 mU/L, 2nd Trimester: 0.2 to 3.0 mU/L & 3rd Trimester: 0.3 to 3.0 mU/L. From this info it is clear that your TSH level is higher than recommended. Therefore, you may have take necessary steps to control it. Thanks.

Yes this is normal at this stage for your baby. Repeat TSH testing as per advise of your pediatrician.

No it is normal according to latest guidelines for this period of pegnany but if you are in doubt and and was taking medicine for thyroid earlier get anti TPO antibodies done this will confirm your status.

She needs to continue thyronorm throughout life as her anti tpo is positive. The dose keeps varying. Repeat her tsh after 4 weeks and get back to me.