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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is 4.12 TSH Level Normal In Pregnancy?

Hi,i am 31 years old,last month period last for almost 1 month out of which 2 weeks heavy flow. I get irregular periods,even last to last month also same thing happen. this time went to dr.she told to do test,ESR(WINTROBE) is 45 mm/1 st.TSH is 4.12,did TVS,where she says Endomertrial lining is13.6 mm.thick.so suggest for D&C ,Hysteroscopy,PCR.Now no bleeding took Texakind 500 for 4 day. Please suggest me can i take this D&C ,Hysteroscopy,PCR. I am Scared!!!.Aleardy my hus is saying no for baby.Because of the last miscarriage n also in the last misscarriage cervical incompetance at 20 weeks on scan.Internal os tightening was done.then after 15 20 days later painless bleeding started so they removed the cervical stitch.Then it was normal delivery happen.
Please help me .........
Mon, 29 Sep 2014
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General & Family Physician,  's  Response
hi,
Welcome to HCM,
I understand from your question that you had one miscarriage after 20weeks, despite of putting cervical suture, and you do not have any baby. You bled heavily in your last period, and one more time.
I believe that ESR was done after 8 hrs of fasting. TSH is bit high, but other Thyroid tests like T3, T4 are within normal range.
I think that your doctor might have suggested D&C, Hysteroscopy and PCR to rule out any disease of endometrium, like TB or Atypical Hyperplasia, which could be responsible for your heavy flow, and mid trimester abortion. Your doctor wants to investigate for any uterine cause for mid trimester abortion, like small polyp most commonly. This time your bleeding has stopped because of Texakind, but may bleed heavily again in next period.
High level of TSH can cause high bleeding, but it is better to rule out other causes first. In Non pregnant state, slightly high TSH with normal T3 T4 levels may not need medication, but during pregnancy, it is necessary to take the medicines, even if it is slightly high, rather TSH should be less than the normal upper margin of TSH.
In my opinion, you must follow your doctor's advise, and go for those procedures. It will help you in getting successful pregnancy as well, and for management of bleeding problem would be better if we know the exact cause of bleeding heavily.
Take good care,
Dr H Hamdani
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Is 4.12 TSH Level Normal In Pregnancy?

hi, Welcome to HCM, I understand from your question that you had one miscarriage after 20weeks, despite of putting cervical suture, and you do not have any baby. You bled heavily in your last period, and one more time. I believe that ESR was done after 8 hrs of fasting. TSH is bit high, but other Thyroid tests like T3, T4 are within normal range. I think that your doctor might have suggested D&C, Hysteroscopy and PCR to rule out any disease of endometrium, like TB or Atypical Hyperplasia, which could be responsible for your heavy flow, and mid trimester abortion. Your doctor wants to investigate for any uterine cause for mid trimester abortion, like small polyp most commonly. This time your bleeding has stopped because of Texakind, but may bleed heavily again in next period. High level of TSH can cause high bleeding, but it is better to rule out other causes first. In Non pregnant state, slightly high TSH with normal T3 T4 levels may not need medication, but during pregnancy, it is necessary to take the medicines, even if it is slightly high, rather TSH should be less than the normal upper margin of TSH. In my opinion, you must follow your doctor s advise, and go for those procedures. It will help you in getting successful pregnancy as well, and for management of bleeding problem would be better if we know the exact cause of bleeding heavily. Take good care, Dr H Hamdani