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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Thyroid Be Controlled During Pregnancy?

Hi Doc, my wife is pregnant and it is her 7th month, we recently got her checked and found a thyroid reporting as 5.16 uIM/ml and normal is 0.30 to 5.00 uIM/ml and the ultrasound scanning report is just fine. We are very much concern about the baby and will the thyroid effect the baby in anyway and one very important question, do we'll be able to control the thyroid I mean can medicine will help fight her against thyroid. If she follows the medicines regularly will she we'll be able to get back to normal with no thyroid?
Fri, 1 Jul 2016
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Endocrinologist,  's  Response
Hello and thank you for asking on HCM!
I read carefully your concerns.
In the third trimester of pregnancy the upper normal limit of TSH is considered 3.0 mUi/ml, (differes from the normal population).
So 5.1 is a bit high and she should continue the treatment with levothryoxine.
Rather it will affect the baby or not, we can't be sure for that, but we can say that it slightly increased.
All what we can do now is to start the treatment and check the TSH after 4 weeks to see if the dose is appropriate.
Usually hypothyroidism caused by Hashimoto thyroiditis is a chronic illness and she should take the treatment in order to substitute a hormone that is no longer produced by the thyroid gland. In this consists the treatment.
I can say that if she takes the pills regularly and does the check up as suggested there is no side effect or point to get worried.
Hope i was clear and helpful.

Kind regards,
Dr.Mirjeta
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Can Thyroid Be Controlled During Pregnancy?

Hello and thank you for asking on HCM! I read carefully your concerns. In the third trimester of pregnancy the upper normal limit of TSH is considered 3.0 mUi/ml, (differes from the normal population). So 5.1 is a bit high and she should continue the treatment with levothryoxine. Rather it will affect the baby or not, we can t be sure for that, but we can say that it slightly increased. All what we can do now is to start the treatment and check the TSH after 4 weeks to see if the dose is appropriate. Usually hypothyroidism caused by Hashimoto thyroiditis is a chronic illness and she should take the treatment in order to substitute a hormone that is no longer produced by the thyroid gland. In this consists the treatment. I can say that if she takes the pills regularly and does the check up as suggested there is no side effect or point to get worried. Hope i was clear and helpful. Kind regards, Dr.Mirjeta