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Difficulty in conception, regular periods, tests showed elevated TSH, normal HSG, prescribed thyronorm. Suggestion for conception?

hi i m 30 yr old lady n my husband age is 38 we r tryng to conceve for 1 n half year,,our all reports is ok me hvng tthyriod tsh leval is 6.27 in the month of gyni dr suggest me thyronorm 50 mg per day .my hsg test is normal .we r anxiously waitng 4 tht g8 moment,my periods r regular.,plz suggest me what we can do for concevng ,,plz help us..
Asked On : Sat, 29 Sep 2012
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OBGYN 's  Response
hello there..
You have hypothyroidism wherein TSH levels get raised. It is important that TSH level get within normal range before you plan to conceive. As first problem with hypothyroidism is that it decreases the chance of conceiving ie causes infertility. If at all you conceive there are many risks involved to the pregnancy and baby with raised TSH levels like Maternal complications such as miscarriages, anaemia in pregnancy, pre-eclampsia (raised BP with fits), abruptio placenta and postpartum haemorrhage (excess bleeding) can occur. Also, the baby can have complications such as premature birth, low birth weight and increased neonatal respiratory distress. So before thinking of pregnancy , its wise enough to concentrate on normalizing your TSH levels which should be maintained below 2.5 mU/l in the first trimester of pregnancy and below 3 mU/l in later pregnancy.
So u keep taking the thyronorm tablet, get a repeat TSH done after 3months of medication. Meanwhile keep taking Folic acid tablet once a day 5mg which will help prevent abortion and fetal defects .
Hypothyroidism is treatable cause of infertility and if you continue your treatment as advised by your doctor , you will definitely conceive.
take care
Answered: Sat, 29 Sep 2012
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