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Thyroid problem during pregnancy

Hi, my daughter is 16 weeks pregnant with twins but she was told that she has a thyroid level reading of 0.01. She has had this reading since at least her 3rd month, without any medication. Could you please tell me what effects this may have on the twins and what type of medication is safe for her to take without harming her or the babies. Thank-you.
Asked On : Sun, 13 Mar 2011
Answers:  4 Views:  563
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ENT Specialist 's  Response
Hi,

Welcome to HealthcareMagic Forum
The thyroid hormone production becomes more in pregnancy as the hormone level has to be balanced between the mother and the infant. This TSH is marginally low, if there were any great variations in the hormonal assay your doctor would have let you know about this. Can you please, let us know what are the measurements of T3 and T4.
Take care

Regards
Dr. Naveen Kumar
Answered: Sun, 13 Mar 2011
I find this answer helpful
  User's Response
Hi Dr. Kumar,
I have found out what our daughter's T3 and T4 measurements were; she has had another blood test done since, but we do not have the results back yet. Anyway, the last measurements that we know were T3 - 9.5H and T4 - 25.5H and her TSH - 0.01. Also her doctor prescribed a medication for her, but when she went to pick it up, the pharmacist asked her if she was pregnant because he was concerned about being pregnant and taking this drug. The medication prescribed is Tapazole - 5mg pills to be taken 3 times a day. I would very much appreciate your opinion in this situation. Thank-you for your time.
Answered: Tue, 15 Mar 2011
  User's Response
Hi Dr. Kumar,
I have found out what our daughter's T3 and T4 measurements were; she has had another blood test done since, but we do not have the results back yet. Anyway, the last measurements that we know were T3 - 9.5H and T4 - 25.5H and her TSH - 0.01. Also her doctor prescribed a medication for her, but when she went to pick it up, the pharmacist asked her if she was pregnant because he was concerned about being pregnant and taking this drug. The medication prescribed is Tapazole - 5mg pills to be taken 3 times a day. I would very much appreciate your opinion in this situation. Also do you think the fetuses are harmed from not being on medication of any kind for the first trimester. Thank-you for your time.
Answered: Mon, 28 Mar 2011
ENT Specialist Dr. Naveen Kumar's  Response
Hi,

Welcome again to HealthcareMagic forum,
I am extremely sorry for the delayed reply. Methimazole is contraindicated in pregnancy as it carries a potential risk of congenital anomalies in the newborn. Propylthiouracil is a better drug to be used in the pregnancy, but some studies do mention about few rare adverse effects on the fetus. But, you need to discuss this with your doctor and plan the pregnancy accordingly.

Regards
Dr. Naveen Kumar
Answered: Mon, 4 Apr 2011
I find this answer helpful
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