1. She will require further investigations. If she is not pregnant at present, a Thyroid Scan and USG guided FNAC of the thyroid nodule/s will be required.
Does she have any signs and symptoms? Does she have a positive family history? Other tests commonly used are free T3 & T4, Ultra TSH, Thyroid Antibody level estimations.
2. It may turn out to be Grave's Disease (the common auto immune form of hyperthyrodism), an adenoma or a multinodular goitre
. Treatment options are anti-thyroid drugs (1-2years), Radioactive Iodine
ablation and Surgery (in this order).
decreases fertility and affects the mother and child adversely. It can cause cardiac failure, hypertension, eclampsia, pre-term delivery, low birth weight
and many complications. Hypothyroidism
also affects the child adversely. Pregnancy can continue under the cover of anti-thyroid drugs. If radio-iodine ablation has been done, it is advisable to wait for a year.