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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can The Pregnancy Be Carried Forward Despite Thyroid Levels?

My wife had pregnant for last 2 months, and she is patient of thyroid and have a regular dosege of 100 mg of eltroxin, but due to some mistake she has taken 50 mg instead of 100 mg. I have consult the doctor now her FT3 is 2.25, Ft4 is 0.8 and TSH is 51.775, Is it safe to carry forward this pregnancy?
Wed, 23 Mar 2016
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OBGYN,  's  Response
Hello,
I have gone through the query and understood your concern. The need for supplementation of thyroxine increases during pregnancy in a sequential manner and the idea is to maintain a euthyroid state. This is needed to prevent the risk of abortion, preterm delivery and low birth weight, which are a consequence of uncorrected hypothyroidism in pregnancy. Since the TSH levels are high, the dosage of medication needs to be raised to lower the TSH levels. The pregnancy can be continued after a sonogram of the pelvis, preferably in the trans-vaginal route to check the status. A single fault in the dosage intake is harmless and it can be corrected by taking another dose. Hope your query has been answered. Take care.
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Can The Pregnancy Be Carried Forward Despite Thyroid Levels?

Hello, I have gone through the query and understood your concern. The need for supplementation of thyroxine increases during pregnancy in a sequential manner and the idea is to maintain a euthyroid state. This is needed to prevent the risk of abortion, preterm delivery and low birth weight, which are a consequence of uncorrected hypothyroidism in pregnancy. Since the TSH levels are high, the dosage of medication needs to be raised to lower the TSH levels. The pregnancy can be continued after a sonogram of the pelvis, preferably in the trans-vaginal route to check the status. A single fault in the dosage intake is harmless and it can be corrected by taking another dose. Hope your query has been answered. Take care.