Thyroid disorders in pregnancy Questions

lybrate-user, Thanks for the query.
The recommended TSH levels are as follows
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. Since you are in the first trimester, TSH should be a bit lower than the present level. So may increase the dose by 12.5 mcg per day. You should check TSH once every 4 weeks during the pregnancy period. Thanks.

NO MAJOR PROBLEM BUT START 37.5 mg ,AS DOCTOR ADVISED YOU .TAKE EMPTY STOMACH .TEA OR MILK SHOULD BE TAKEN ONE HOUR LATER. USE TATA IODISED SALT IN UNRIPE FORM MEANS KACHA.

Thyroid peroxidase (TPO), an enzyme normally found in the thyroid gland, plays an important role in the production of thyroid hormones. A TPO test detects antibodies against TPO in the blood.
In autoimmune disorders, your immune system makes antibodies that mistakenly attack normal tissue.
Normal TPO is 35 IU/mL Hypothyroidism is a condition in which the thyroid gland is under active and does not produce sufficient amounts of thyroid hormones required in the body. The most cause of hypot...more

lybrate-user, Thanks for the query. I remember to have answered the same query a few days back. Most important is to maintain TSH level around 2 mU/L during the whole pregnancy. That is necessary for proper fetal growth and expected outcome of pregnancy. You will have to check TSH level every 4 to 6 weeks. So my suggestion is to follow the endocrinologist opinion. Thanks.

lybrate-user, Thanks for the query.
During pregnancy it is absolutely essential to maintain TSH levels if the following manner: 1st trimester: 0.1 to 2.5 mU/L, 2nd trimester: 0.3 to 3 mU/L & 3rd Trimester: 0.3 to 3.1 mU/L. Your present level is bit too high. It is better to increase Levothyroxine tablets from 62.5 to 87.5 (by 25 mcg per day) and check TSH after 4 to 6 weeks. For proper fetal development and desired outcome of pregnancy TSH should be maintained in the above range. If you have...more

Please Increase it to 50 mcg
I will suggest few points. Wake up early go for morning walk in greenery daily with relaxed mind Do pranayam and yoga daily Do perineal and pelvic exercises daily Take salads and fruits more Take plenty of water daily Take carrots and beet root juice daily Take Cap evecare by Himalaya 2 2 for 6 mths Lohasav 15 ml twice a day for 6 mths Ashokarishta 20 ml twice a day for 6 mths These all points will help you a lot.

It appears your wife has hyperthyroidism. Radio iodine therapy is one of definitive treatment for this condition. Treatment has no major side effects but pregnancy should be avoided for at least 6 months after iodine therapy and it should not be given during pregnancy.

Please do Free t3 Free t4 and ultra TSH. Depending upon results you dose will be decided. Repeat this report every 2 months to keep thyronormalcy as Thyroid hormone is essential for nervous system development of baby.

Yes this disease needs to be treated and line of treatment is ok. For your muscles pain consult your endocrinologist and see if there is any associated vitamin deficiency. Since you are young other modes of treatment like radioiodine therapy is not suitable for you.

Presence of ANA positivity suggests autoimmune disorders like SLE which is 10 times more common in females than men. As it is the first screening test. Further detailed investigation is required to make the diagnosis in your patient.