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Treatment for pregnancy after hyperthyroidism - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User :   hi
Doctor :   hi
Doctor :   how can i help u ?
User :   I need to consult gynaecologist.
Doctor :   please proceed with your query
User :   I am 24 yrs old and 9 weeks pregnant. I need to clarify some doubts in my pregnancy scan report.
Doctor :   ok, please proceed
Doctor :   with the details of the USG report
User :   in my scan report, they found no CIL cyst in both ovaries and asked me to take Duphaston harmone tablet.
User :   is it safe to take ?
Doctor :   yes
User :   may I know the problem I have ? and how far it is serious?
Doctor :   probably the secretion of hormones is reduced in your case
Doctor :   hence supplementary medicines have been initiated to maintain the pregnancy
Doctor :   its not serious
Doctor :   this is a common condition in many women
User :   ok. my thyroid test result is
User :   T3 - 2.29, T4 - 10.45 and TSH is 11.03
Doctor :   Dydrogesterone is an orally active progestogen which acts directly on the uterus, producing a complete secretory endometrium in an estrogen-primed uterus.
Doctor :   you have a high TSH
User :   I am taking Thyronorm 100 mcg.
Doctor :   ok
User :   after 7 weeks of my pregnancy. will it affect my baby's brain growth?
Doctor :   No its not going to have any effect
User :   i just started to take thyroid tablet, after 7 weeks.
User :   doctor asked me to reduce dosage, and yesterday onwards i started to take 50 mcg only.
User :   100 mcg is given by other doctor and one another doctor asked me to take 50 mcg only.
Doctor :   thats fine
User :   which is fine? i am confused.
Doctor :   he is titrating the dose depending on the physical examination and the needs
Doctor :   may i know when the thyroid tests were done
User :   nov 8th test was done. form nov 9th i took 100 mcg in empty stomach and from yesterday, 50 mcg.
Doctor :   did the doctor see the results before starting the meds ?
Doctor :   and once the meds were started, did u have any symptoms ?
User :   yes she saw the thyrid test result and then prescribed medicines.
User :   what kind of symptoms?
Doctor :   like tremors, or anxiety, sleeplessness , etc ?
Doctor :   the high TSH & LOW T3 levels induced your doctor to start with a higher dose initially to maintain the hormone levels in the blood
Doctor :   once the levels become normallised
Doctor :   he started with a maintainance dosage with a lower dose
Doctor :   this is a standard protocol
User :   no. i am always feeling sleepy and tired. i do not know its because of thyroid or pregnancy
Doctor :   Its a combination of both
Doctor :   low thyroid levels can cause sleepiness and lethargy
User :   ok. so I have low thyroid level?
Doctor :   yes
User :   ok. Is it serious?
Doctor :   high TSH , means thyroid levels are low
Doctor :   not seroius now since treatment has been started
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