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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is There Any Chance Of Preterm Labor?

I am 33 weeks pregnant and am a Hashimotos patient. My endocrinologist just called and advised me that my tsh level is .34. It has been on the hyper end of the normal range throughout the entire pregnancy. I have been taking 125 mcg of levothyroxine 5 times a week and 137 2 times a week since before conception with no changes to prescrip. She changed my current dosage to137 once a week and 125 the other days. I have been having some issues with pain and contractions and am now concerned that a tsh of this level could cause preterm labor or complications. She also told me my Free T4 is normal but did not give me the lab findings for that test. Any information would be greatly appreciated.
Tue, 21 Oct 2014
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OBGYN 's  Response
I understand your concern and I will do my best to put your mind at ease. It sounds like your endocrinologist is taking very good care of you and, based on your labs, are managing your Hashimoto's correctly. About one in three women need a slight adjustment to their thyroid medication due to all the hormone and metabolic changes of the pregnancy. Only women with very poorly controlled thyroid disease are at significant risk for preterm labor or hurting the baby. You are to be congratulated on getting your lab work done and talking to your doctors about the results.
Good luck with the pregnancy
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Is There Any Chance Of Preterm Labor?

I understand your concern and I will do my best to put your mind at ease. It sounds like your endocrinologist is taking very good care of you and, based on your labs, are managing your Hashimoto s correctly. About one in three women need a slight adjustment to their thyroid medication due to all the hormone and metabolic changes of the pregnancy. Only women with very poorly controlled thyroid disease are at significant risk for preterm labor or hurting the baby. You are to be congratulated on getting your lab work done and talking to your doctors about the results. Good luck with the pregnancy