Are there any ways to treat thyroid disorder during pregnancy naturally?
Subclinical hypothyroidism in pregnancy
Noted your concern.
You did mention that you do not have Hashimotos. How did you arrive at that conclusion ? Were the antibodies ( anti TPO and Anti TG) checked?
TSH has a lower threshold to start treatment in pregnancy. Sucbclinical hypothyroidism can cause adverse outcomes to mother and the fetus. During the fisrt 12 weeks, fetal thyroid is not fnctional and get thyroid hormones from mother.
It was right to start Thyroxine in your case. Studies have shown that, the optimum TSH cut off is less than 2.5 during first 3 months of pregnancy and less than 3 during rest of pregnancy. As there is weight gain in pregnancy, the requirement increases as pregnancy progress. So there is no harm in increasing the dose now. However, you may not require 50mcg every day with TSH of 2.9. My advise would be to take 25 mcg for 5 days a week and 50 mcg for 2 days ( saturday and sunday). That would suffice in your case. Recheck TSH after 4 weeks of increasing the dose.
There are no or negligible adverse effects on fetus with your level of subclinical hypothyroidism. If the fetal growth profile is normal, not to worry. Remember to take sufficient iodine during pregnany and later durin lactation.
If the antibody levels are negative, in most cases of subclinical hypothyroidism, we will be able to stop Synthroid after delivery. So not to worry. Please remember to check TSH of baby 48 hours after birth.
As for Hashimotos, i asked my obgyn to test for the anitbodies when the results came back i was told i do not have them, thus i do not have Hashimotos. I will confirm with a second opinion in the next few weeks but its seemed clear i was free of the antibodis. My current obgyn has scared me into beliveing that once i start synthroid that i will need to be on it for the rest if my life as i will most likely always have an underlying thyroid condition.
Is this true? Are there holistic methods of dealing with this condition that dont requier prescription medication?
Also, since my condition went undiagnosed during my first trimester and my TSH was 4.5 is it possible that my child could have impaired brain function (even mild) Im worried sbout autism/learning delays due to my TSH level in the critical first trimester.
On another note, the baby is growing super well...in fact he is almost 2 weeks ahead of his groth expectancy. Our first son is very big aswell, he has been in the 100th percentile in hight and 95th percentile in weight since he was born.
So having another big boy is no XXXXXXX
All other tests on the featus came back very well (genetic ect.)
I just did my gloucose test 3 days ago and I did very well with no XXXXXXX of diabetes.
On another note i am 5foot 7inches and began my pregnancy at 134lbs to date at 29 weeks i have gained 26lbs, so i do not feel my weight is out of control...i do feel more sluggish than with my first child and my nails are not as strong but otherwise i think the hypothiroid conditin is A-symptomatic.
Please let me know how my TSH in the first trimester could affect my child and also how i can restore my thyroid function post baby without synthroid. Thank you very much!
Not to worry
Good to know that your antibody levels are normal. In that case, we should be able to stop Synthroid after delivery and recheck TSH after 6 weeks of stopping.
In most recent studies, there is no evidence of obvious cognitive damage or IQ issues in fetus born to mothers with subclinical hypothyoidism. We treat this in pregnancy more for favourab;e maternal outcome rather than fetal outcome. Ofcourse in severe overt hypothyroidism, there can be fetal damage. Yours is a mild subclinical hypothyroidism.
Your requirement of synthroid is not huge. I strongly beleive that you should be able to stop it post delivery
My pleasure. You are Welcome to ask more questions. If you have no more questions, may I request you to please close the query. Best wishes and have a safe delivery.
If Free T4 and TSH normal, not to worry
Postpartum blues and depression are quite common. People with thyroid dysfunction can have an added effect on depression. But , as long as your TSH and Free T4 remains normal, stopping synthroid will not contribute to depression
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