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What Is Normal TSH Level?

Posted on Wed, 10 Sep 2014

Question: my wife tsh is 3.39 and last year it was 19 it dropped without medicine we are trying hard to get pregnant beofre ivf how much should be her tsh on the safe side she has pcos as well

Answered by Dr. Binu Parameswaran Pillai (1 hour later)

Brief Answer:
Hello

Detailed Answer:
Good day,
TSH is produced by pituitary gland and sometimes ( especially when recovering from any illness) you can get a high value which can become normal after sometime.

Your wife's current TSH is 3.39 and the safest TSH value recommended before pregnancy is 2.5.

I strongly recommend you to do a Free t4 and Anti TPO in her

Regards
Binu

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

Follow up: Dr. Binu Parameswaran Pillai (6 minutes later)

thanks i have t4 but dont have anti TPO does it has to be fasting pls see her attached reports

Answered by Dr. Binu Parameswaran Pillai (16 minutes later)

Brief Answer:
Hi

Detailed Answer:
Thank you. Noted both reports. T4 is normal. BUT TSH was elevated earlier which has improved now.

Anti TPO need not be fasting.

She also has an elevated insulin level 2 hrs after glucose load during the gucose tolerene test. This will improve with exercise and weight loss. This also will help PCOD and infertility

Binu

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

Follow up: Dr. Binu Parameswaran Pillai (2 minutes later)

don you think she needs to take metmorfin or glocophage for PCOD AND SUGAR ELEVATED LEVELS thanks what dose of thyroxine she should start and after homany days she needs to take the test again

Answered by Dr. Binu Parameswaran Pillai (4 minutes later)

Brief Answer:
Hi

Detailed Answer:
Her Sugar levels are not bad. However, Metformin ( glucophage) may improve the insulin levels and also helps with fertiliy rates. I recommend a small dose of Thyroxine 25 mcg for her and repeat the TSH and Free T4 after a month. Along with that, you can also do an Anti TPO

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

Follow up: Dr. Binu Parameswaran Pillai (2 minutes later)

thanks dr what dose of metmorfin she should take

Answered by Dr. Binu Parameswaran Pillai (1 minute later)

Brief Answer:
hi

Detailed Answer:
start with 500 mg at night. After 2 weeks she can take 500 mg Metformin morning and night

Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

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