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What Do My TSH Levels Indicate?

Posted on Wed, 22 Jul 2015

Question: Hello, I am approximately 10 weeks pregnant. I am generally a very healthy young lady (29 years old) and have never had any thyroid issues. When I was 8 weeks pregnant (2 weeks ago), I went in for blood work and my midwife informed me of my blood work results yesterday (at 10 weeks). All my blood work was normal except for my TSH level was 2.73 u/M and she said that the normal range is 2.5 u/M. She didn't sem concerned, however, I am quite worried and concerned because I did some research and it seems like this early in pregnancy to have any TSH level above 2.5 , even if minor, could poise brain development risks in the baby. Should I be medicated at this stage? is it too late? I have been extremely stressed out from the beginning of this pregnancy - is it possible to get a false positive test result due ti stress?

Thank you so much for your answer.

-XXXX

Answered by Dr. Mahesh Koregol (32 minutes later)

Brief Answer:
You dont need medicines

Detailed Answer:
Hello XXXXXXX

Thanks for your query.

I have read you query and I understand your concerns about TSH levels.

Following is my reply:

1) TSH levels more than 5 needs to be treated with medicines and 2.73 is well within normal limits.

2) 2.5 cutoff what you saw on internet is not come into practice and few groups are advocating it.

3) We have seen many women delivering babies with healthy brains with TSH upto 5 and it is practice not to give unnecessary medicines for levels less than 5 as medicines themselves have certain side effects.

4) As of now you don't need medicines and your baby is healthy. Don't worry about it.

5) It is unlikely to get false positive result due to stress.

I hope I answered you query and addressed your concerns.

Let me know if you wish to ask any further questions. I will be glad to help you.

Regards,
Dr. Mahesh Koregol.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Mahesh Koregol (41 minutes later)

Thank you very much. Just wanting to make sure that the unit of measurement we are finding is the same and that 2.73 u/M is still okay in the first trimester.

I thank you kindly for putting me at ease.

I do not have any symptoms of hypothyroidism as indicated on websites.

Thanks again! :)
-XXXX

Answered by Dr. Mahesh Koregol (13 hours later)

Brief Answer:
You are healthy

Detailed Answer:
Hi XXXXXXX

Your levels are normal. Just relax. You don't need any medicines.

You can directly contact me next time by pasting following link in your browser:

http://bit.my/askdrmaheshkoregol

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar