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Is TSH Level Of 14.26 During Pregnancy A Cause For Concern?
Question: I m 19 week pregnant. my anti tpo comes out >1300 and tsh 14.26 . my doctor increase my dosage from 100 to 150 mcg. what else I have to do ? will it harm baby
Brief Answer:
Strict control of hypothyroidism
Detailed Answer:
Hi dear, I have gone through your question and understand your concerns.
Increased anti TPO antibody levels means that your hypothyroidism is due to autoimmune condition, in which the antibodies produced in the body start hampering the function of a particular organ or cell in the body, in your case the thyroid gland is affected by these antibodies and decrease their effective functioning.
Your TSH levels should be kept under 2.5 , by proper alterations in the dosage of thyronorm.
Moreover, you should also get your oral glucose tolerance test to detect if any gestational diabetes mellitus is present, as it is common in patients with autoimmune conditions.
Anti TPO antibody itself do not cause any harm to fetus, if TSH is kept within normal limits.
Hope you found the answer helpful. Please do get back for further queries.
Wishing you good health.
Regards
Dr Deepti Verma
Strict control of hypothyroidism
Detailed Answer:
Hi dear, I have gone through your question and understand your concerns.
Increased anti TPO antibody levels means that your hypothyroidism is due to autoimmune condition, in which the antibodies produced in the body start hampering the function of a particular organ or cell in the body, in your case the thyroid gland is affected by these antibodies and decrease their effective functioning.
Your TSH levels should be kept under 2.5 , by proper alterations in the dosage of thyronorm.
Moreover, you should also get your oral glucose tolerance test to detect if any gestational diabetes mellitus is present, as it is common in patients with autoimmune conditions.
Anti TPO antibody itself do not cause any harm to fetus, if TSH is kept within normal limits.
Hope you found the answer helpful. Please do get back for further queries.
Wishing you good health.
Regards
Dr Deepti Verma
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
4 days before I have done sugar fasting test and it was come out 70. will my tsh level get in level after taking increased dose or I have to go for any other medication or treatment ? will increased tsh reduce my baby kicks ? I have also gone for level 2 ultrasound and it comes out normal. so dont understand why my tsh level hiked ?
Brief Answer:
Dose needs to be adjusted
Detailed Answer:
Hi dear,
Blood sugar fasting is not a sensitive method to detect gestational diabetes mellitus, that is why oral glucose tolerance test with 75 gm glucose is advised.
TSH levels will be controlled by thyronorm, the dose need to be adjusted according to the TSH levels done every 2 weekly till they are within normal limits.
No, increased TSH has no effects on the fetal movement.
TSH levels increase as the thyroid hormones T3 and T4 decrease. In a pregnant women, thyroid hormones decrease with pregnancy due to changes in the body, and therefore TSH levels raise.
Hope you found the answer helpful.
Regards
Dr Deepti Verma
Dose needs to be adjusted
Detailed Answer:
Hi dear,
Blood sugar fasting is not a sensitive method to detect gestational diabetes mellitus, that is why oral glucose tolerance test with 75 gm glucose is advised.
TSH levels will be controlled by thyronorm, the dose need to be adjusted according to the TSH levels done every 2 weekly till they are within normal limits.
No, increased TSH has no effects on the fetal movement.
TSH levels increase as the thyroid hormones T3 and T4 decrease. In a pregnant women, thyroid hormones decrease with pregnancy due to changes in the body, and therefore TSH levels raise.
Hope you found the answer helpful.
Regards
Dr Deepti Verma
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
yesterday I went to my doctor and she prescribed thyrowel once at night... is this medicine is good in pregnancy or not ?
Brief Answer:
Not recommended
Detailed Answer:
Hi dear,
Thyrowel is a health supplement medicine and has no role in decreasing the TPO antibodies or normalizing the thyroid levels.
No medicine should be taken in pregnancy, unless it's benefits are proven.
In my opinion, there is no need to take this medicine.
Hope you found the answer helpful.
Regards
Dr Deepti Verma
Not recommended
Detailed Answer:
Hi dear,
Thyrowel is a health supplement medicine and has no role in decreasing the TPO antibodies or normalizing the thyroid levels.
No medicine should be taken in pregnancy, unless it's benefits are proven.
In my opinion, there is no need to take this medicine.
Hope you found the answer helpful.
Regards
Dr Deepti Verma
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Dr. Deepti Verma
OBGYN, Maternal and Fetal Medicine
Practicing since :2009
Answered : 5064 Questions
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