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Suggest The Ideal Dosage For Thyroxine Taken For Thyroid

Posted on Tue, 31 May 2016

Question: Dear dictor

My name s XXXXX..I did a d&c due to blighted ovum..when I checked my thyroid it was tsh 13 and and i started taking thyroxine 25mg..after two months of thyroxine it came to 6.40 and free t4 0.89 now..
Do I need to change the dosage of my thyroxine since my dictor told that this dosage might not b suffucient for the level to come normal and am planning my pregnancy again soon...

Please advice...can I try again for the pregnancy soon???

Answered by Dr. Manisha Jain (46 minutes later)

Brief Answer:
Increase thyroxine dose

Detailed Answer:
Hello Mam, thanks for trusting health care magic.
Yes you can very well plan a pregnancy anytime now.
Your thyroid dose is lesser than needed and thus you need to increase the dose to 50 ug daily.
Get a repeat thyroid test done after 6 weeks of starting increased dose.
All the best.
Regards
Dr Manisha Jain

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Manisha Jain (40 minutes later)

Thankyou so much for the timely reply doctor,I did dandc last month Feb 18 and till now I didn't get my periods ,last week me and my hubby had intercourse twice,today I got brown spotting...will it b a pregnancy again???does it be a problem again??? Repeated miscarriage ??after 6 weeks if tsh comes to normal after taking 50mg...what dosage I need to continue to take 50 or 25???

I have a vitamin d deficiency also ...can u suggest something to make it normal and do I need to take folic acid???

Did i do something wrong or should I waited for 3-4cycles for the next pregnnancy ..

Answered by Dr. Manisha Jain (2 hours later)

Brief Answer:
Pregnancy test advised

Detailed Answer:
First do a urine pregnancy test.
In my opinion this is your period date and not pregnancy but it is better to test.
If negative then take vitamin D sachets once a week for 8 weeks along with daily folic acid intake.
Take thyroxine 50 mg and get the test done after 6 weeks and if TSH is normal then continue 50 mg.
There is no harm in conceiving now also but it is always better to enter pregnancy with Normal thyroid levels.
All the best dear.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Manisha Jain (17 minutes later)

its just brown spotting and no bleeding ..is it normal to have that after d&c??

Answered by Dr. Manisha Jain (28 minutes later)

Brief Answer:
Commonly seen

Detailed Answer:
Yes dear it is very common and nothing to worry.
But do a pregnancy test for sure.
Most likely you will get full flow in 2-3 days from today.
Take care

Above answer was peer-reviewed by : Dr. Naveen Kumar