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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Precautions Should Be Taken While Conceiving After Been Diagnosed With Hypothyroidism?

I am of 27 yrs nw, have diagnosed with hypothyroidism when i was 11 have started tablet ELTROXIN 100mcg when i entered in at the age of 12. From that time all my thyroid testes reports are normal till date with no fluctuations on T3,T4 and TSH. My menstrual cycles are also very much normal..Now I am planning to get married. Can u pl tell me that will this problem affect me in any case.What precautions should be taken while conceiving n during pregnanacy? Is it difficult to conceive with hypothyroidism?
Mon, 12 Dec 2016
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Endocrinologist 's  Response
Hello,
Thank you for asking on HCM!
Your concern is right. Before trying to conceive you should check the TSH level. It should be under 2.5 mUI/ml to be considered normal to conceive.
Once you have a positive pregnancy test you should raise the dose by 30%, as the needs in pregnancy for levothyroxine are higher.
You should be under close medical supervision and check the TSH level every 4 weeks during pregnancy.
If you maintain normal TSH level, there is nothing to get worried, no side effects can happen.
For a personalised comprehensive evaluation, treatment recommendations, or individual therapy, ask me at HealthCareMagic at this private link:
HCM Dr. Guni

Kind regards,
Dr,Mirjeta
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What Precautions Should Be Taken While Conceiving After Been Diagnosed With Hypothyroidism?

Hello, Thank you for asking on HCM! Your concern is right. Before trying to conceive you should check the TSH level. It should be under 2.5 mUI/ml to be considered normal to conceive. Once you have a positive pregnancy test you should raise the dose by 30%, as the needs in pregnancy for levothyroxine are higher. You should be under close medical supervision and check the TSH level every 4 weeks during pregnancy. If you maintain normal TSH level, there is nothing to get worried, no side effects can happen. For a personalised comprehensive evaluation, treatment recommendations, or individual therapy, ask me at HealthCareMagic at this private link: HCM Dr. Guni Kind regards, Dr,Mirjeta