I have hypothyroidism how should I approach pregnancy? admin Posted on Posted in Medical Questions, Menstruation and Pregnancy 4 Comments Tagged with pregnancy and hypothyroidism As a 21 year old female with hypothyroidism, how should I approach pregnancy? Ie. should I go to my doctor pre pregnancy to talk about adjusting my dosage, should I change my diet or anything like this?
Hypothyroidism is very dangerous on your baby so your doctor should make sure to follow the guidlines which are First Trimester, TSH 0.1 – 2.5 mIU/L
Second Trimester, TSH 0.2 – 3.0 mIU/L
Third Trimester, TSH 0.3 – 3.0 mIU/L
He should make sure to control TSH
If your gynecologist does not know the guidelines then tell him or switch him
Let me tell you that adequate thyroid hormone replacement therapy is a must. Ideally, hypothyroid women should have their levothyroxine dose optimized prior to becoming pregnant. Women with known hypothyroidism should have their thyroid function tested as soon as pregnancy is detected and their dose adjusted by their physician as needed to maintain a TSH in the normal range.
Thyroid function tests should be checked approximately every 6-8 weeks during pregnancy to ensure that the woman has normal thyroid function throughout pregnancy.
If a change in levothyroxine dose is required, thyroid tests should be measured 4 weeks later.
As soon as delivery of the child occurs, you may go back to your usual pre-pregnancy dose of levothyroxine. It is also important to recognize that prenatal vitamins contain iron and calcium that can impair the absorption of thyroid hormone from the gastrointestinal tract.
Consequently, levothyroxine and prenatal vitamins should not be taken
at the same time and should be
separated by at least 2-3 hrs
Hope this helps
Remember , you should go to your doctor
If you are planning pregnancy you should consult a Gynaecologist or your Endocrinologist and discuss and get regular thyroid profile done at least every one and half to two months..
Let it stay consistently normal..
Once you get pregnant continue the monitoring with proper dose titration so that your blow thyroid levels does not harmful your baby..
Hope this helps..
Yes you should get tested for the current levels of thyroid gland as it is vital for your foetus, according to the results ,the doctor will adjust your dose and you need recheck every 2 months regularly .
Your diet should be modified to a healthy low fat diet so your weight should not get much more increased than normals after pregnancy.