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Is Pregnancy Possible While Having Abnormal Thyroid Levels?

Posted on Tue, 9 May 2017

Question: Hi,
My wife is being trated for Thyroid. She have normal Free T3 and Free T4 and her TSH is improved to 0.20. Will she be able to conceive ? Or should her TSH should bring to normal for that ? Is this co-related. She have no periods from last 50 days, she hade 48 days longer in last year.
Please advise.

Answered by Dr. Manisha Jain (8 minutes later)

Brief Answer:
Need the report

Detailed Answer:
Hello and welcome to HealthcareMagic.

Thanks for writing to us with your health concerns. Please upload the thyroid report here. I need to see the report as it is not correlating well.

Awaiting..

Regards
Dr.Manisha Jain.

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Manisha Jain (35 minutes later)

Thanks for the response. I have attached the test results which is taken today for your reference. she is taking Neo Mercazole - carbimazole tablets 5mg since december 2016.

Answered by Dr. Manisha Jain (7 hours later)

Brief Answer:
Need titration of dose

Detailed Answer:
TSH should also be Normal for proper treatment titration and thus she needs to increase the dose to have a healthy pregnancy 0.2 is not very less though which also improves in pregnancy so she can start trying for pregnancy now after titration of dose
Don't worry about periods as they will be fine soon after proper titration and frankly not a measure of thyroid issues in short term

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Manisha Jain (16 hours later)

Thank You, she sent an email to her doctor treating Thyroid checking for dosage. But she is worried of her periods. its 52 days without periods which is for the first time in her life. would this be due to Thyroid or any check up or treatment is required.

Answered by Dr. Manisha Jain (16 hours later)

Brief Answer:
Can be due to thyroid

Detailed Answer:
It can be due to thyroid abnormalities but nothing conclusive can be said and she can have irregular periods in future as well despite of normal thyroid so just aim for normal TSH and then see the pattern of periods

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Manisha Jain (15 hours later)

we did home pregnancy test and it is showing positive. should we go and meet a Gynacologist immidietely.

Answered by Dr. Manisha Jain (12 hours later)

Brief Answer:
Meet your gynaecologist

Detailed Answer:
My heartiest congratulations to you.
Yes you need to meet your gynaecologist and get other routine blood tests
Thyroid hormone levels fluctuation is common in pregnancy so don't get hassled
I have done a lot of research on thyroid and will be happy to help in case you have any other question related to it.
Wish you a healthy pregnancy ahead

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Manisha Jain (23 minutes later)

Thank You very much :) We have done the scanning and heartbeat and everything is normal so far.

Yes, I am hearing mix feedback from the doctors. carbimazole tablet which she is taking for Thyroid is a D - category tablet which may affect the growth or can lead to birth defects, which I am concerned about. Will this be okay with this medicine ? Or this is something which we should be concerned about.

Answered by Dr. Manisha Jain (2 hours later)

Brief Answer:
Discontinue carbimazole

Detailed Answer:
Yes sir carbimazolr is discontinued and propylthiouracil is continually given to maintain normal thyroid hormone levels
So regular intake of medicines and periodic TSH measurements is needed in whole pregnancy
Take care

Above answer was peer-reviewed by : Dr. Prasad