Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
183 Doctors are Online

60 days pregnant with high TSH. Doctor advised DNC. Advice ?

User rating for this question
Very Good
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
Hi Doctor,
My wife is pregnent & on 1st scan (23.01.2012) she was 60 days pregnent.On blood result she was having a high TSH of 98.98 and 02.02.2012(second) blood result of TSH 142---FREET3 1.45, FREE T4-0.58
she was a thyroid patient and taking 100mcg of thyrox every day.
she is 42kg and now doctors adviced for DNC. please advice. she is 27 years of age and now for last 2 weeks taking thyronorm 100*2mcg.
this is our first pregnancy & it without any treatments.
Posted Wed, 2 May 2012 in Pregnancy
Answered by Dr. Chakravarthy Mazumdar 1 hour later

The thyroxine requirements of a woman increase during pregnancy. It is extremely important to check Serum TSH (Thyroid stimulating hormone) levels, Serum Free T3 and Serum Free T4 throughout the pregnancy at least once in a trimester.

This makes the treating doctor understand the actual body requirements and thus change the dosage accordingly.

Having all said, with the information given 100 mcg thyroxine is not the right dose for your wife. It should be revised and properly checked again with serial Serum TSH levels. 100mcg twice a day may suit; it is ideally taken with empty stomach. I prefer you consult a trained doctor for treating thyroid disorder like an Endocrinologist / XXXXXXX Medicine physician.

I feel that the reason for Dilatation & Curettage (DNC) at this stage should be addressed by your treating doctor alone.

Let me know if I can address your concerns further.

Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Medical Topics

The user accepted the expert's answer

Ask an OBGYN

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor