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Postpartum hypothyroidism - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: Thyroid Problem and Hormonal Problems
Answered by

General & Family Physician
Practicing since : 2009
Answered : 674 Questions
User :   I have a slightly uneractive thyroid, due to a previous pregnancy, not enough to go on medication but I have a blood test every 6 weeks to monitor. I am planning another pregnancy but I'm not sure what the implications are for the baby if I'm not on medication. can you help me out?
Doctor :   Hi
Doctor :   May I know your age?
User :   34
Doctor :   Since when are you known to have this problems?
Doctor :   When was your last thyroid profile done?
Doctor :   Were the reports normal?
User :   about 6 weeks ago. I don't have the profile with me but the doctor said it was again "slightly" underactive,
User :   I had a baby 18 months ago.
Doctor :   Let me brief you.
Doctor :   Hypothyroidism is one of the factors that reduces the chances of pregnancy.
Doctor :   Its also responsible for causing abortions and fetal deaths in pregnancy.
Doctor :   Severe hypothyroidism cases needs to be corrected.
Doctor :   This depends on the levels of TSH and thyroid hormones.
Doctor :   Hence if you have high TSH levels with low T3 and T4 levels, this may have to be corrected before you plan for next pregnancy.
Doctor :   Have you followed what I have suggested?
User :   Not sure which ones are out of range. He won't put me on any medication but I must have these blood tests every 6 weeks. Can I take some supplements to naturally take them to normal?
Doctor :   Let me brief you.
Doctor :   Its not the condition, that are factors responsible for those problems that I mentioned to you. Its the levels of the thyroid hormones(T3 and T4) that are important.
Doctor :   Hence, its necessary that you know what your thyroid hormone values are.
Doctor :   Keep the monitoring your thyroid hormone levels as suggested by your doctor.
Doctor :   Thyroid hormone supplements will be needed if the hormone levels are low.
Doctor :   As far as diet is concerned.
Doctor :   There are no specific diet to increase and supplement the hormones, but
Doctor :   avoid diet that contains cabbage, lettuce, cauliflower.
Doctor :   These dietary factors inhibit thyroid hormone secretion,
Doctor :   and can add to your concern.
Doctor :   Have you followed what I have suggested?
User :   would it be worth going to see a thyroid specialist, seeing as I would like to get preg?
Doctor :   Yes, you can get your latest thyroid profile done and visit a specialist for evaluation.
Doctor :   Do you have any other query?
User :   How long does it take for medication to work?
Doctor :   Thyroid supplements can increase the serum hormone levels within a day,
User :   Ok thanks for your time.
Doctor :   since, I do not know your recent thyroid hormone levels, or the nature of the thyroid condition,
Doctor :   the specialist will be able to give you an appropriate answer.
User :   thanks again
Doctor :   There are few individuals who may need the supplements for long time to reach normal levels.
Doctor :   Hence follow up with your specialist(endocrinologist).
Doctor :   Do you have any other query?
User :   no thanks
Doctor :   Thanks for consulting me. Bye for now.
User :   oh sorry yes, is there a name for slight underactive thyroid?
Doctor :   In general the condition is referred to as hypothyroid state. This however is seen in numerous conditions.
Doctor :   Commonest cause following pregnancy being thyroiditis.
Doctor :   The endocrinologist will be able to give more specific information regarding this(following the evaluation)
Doctor :   Have you followed?
Doctor :   Do you have any other query?
User :   no thanks bye
Doctor :   Thanks for consulting me. Bye for now.

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