
What Does My Lab Test Report Indicate?

throid to decreases my TSH level. This is coming from a fertility expert and he said that he would like the levels to be below 2.2. I am extremely concerned about this and I don't want to take medication if I don't have to unnecessarily. the nurse said that I am going to have to take it for the rest of my life. I told her I would have to consider it before agreeing to putting that in my body. She also said that this level should be lower if I am trying to conceive. Any thought on this?
TSH LEVEL= 3.1
FREE TSH Levels = 1.36
Thyroid
Detailed Answer:
I understand what you are saying here. One would not gladly take medication unless it is absolutely necessary to do so, particularly if it entails a lifelong commitment.
What your RE is advising though, is fair. In fertility related matters, it is advisable to keep the TSH under 2.5
Whether Synthroid needs to be taken for life requires a more systematic evaluation. A general endocrinologist will be able to assess you for this later once fertility matters are dealt and over with.
For example, there are two types of thyroid auto antibody blood tests called anti TPO (Thyroid Peroxidase) and anti Thyroglobulin , which give a good idea as to whether or not the thyroid is functioning adequately. If it is not, then synthroid may need to be taken forever.


Follow up
Detailed Answer:
It is a reasonable suggestion by the RE.
The final decision is between your RE and you.
It is typical practice to check thyroid blood tests ie TSH and Free T4 after 4 to 6 weeks once medication (synthroid) is started.
However in your case, it is possible your RE may wish to check it sooner to ensure target levels have been achieved.
You should call the doctor's office to address your questions

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