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Is TSH Level Of 4.73 A Cause For Concern?

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Posted on Wed, 17 Aug 2016
Question: My wife is 8 weeks pregnant now. We got all tests done as suggested by doctor. I came to know she is having Thyroid problem. Result is 4.73.
Doctor suggested to use Thyronorm 25 mcg once daily before break fast.

Is Thyroid problem normal during pregnancy? Is it harmful to baby?
Is 4.73 mean high number of hormones are less?
Are there any side affects of using thyronorm ?
Should I change my diet?
doctor
Answered by Dr. Sameer Kumar (10 minutes later)
Brief Answer:
hypothyroidism in pregnancy.

Detailed Answer:
Hello,
Thanks for the query to HCM,
The TSH levels during early pregnancy should be maintained between 3.2-3.8, to allow the pregnancy to be safe and allow good placentation else there is an increased chance of treated miscarriage and also long term effect is seen in child's IQ level. So thyroxine supplementation has been rightly done with 25mcg daily and to be continued through out pregnancy till delivery . Thyroxine is safe in pregnancy and has no adverse effect on the child.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sameer Kumar (19 minutes later)
Hi XXXXXXX

Thank you for the response.

4.7 score means Hormones are not produced as required for mother/baby?
Can this problem be corrected with medication during pregnancy? Will this affect Baby after birth?
Is this problem common during Pregnancy?
Should we follow any diet plan?

Regards,
XXXX
doctor
Answered by Dr. Sameer Kumar (23 minutes later)
Brief Answer:
answered

Detailed Answer:
Hello.
Ideally the normal Tsh levels should be less than 5 in non pregnant women but as per acog guidelines as I mentioned target in pregnancy remains 3.2 to 3.8.
Thyroxine cannot be supplemented through diet but through tabs only.
This tab is safe in pregnancy and should be taken till term.
you may start with 25mcg and repeat tsh after 2 months. This is common in pregnancy and cases are rising due ti increased levels of atress in daily life.
regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Sameer Kumar

OB and GYN Specialist

Practicing since :2002

Answered : 1782 Questions

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Is TSH Level Of 4.73 A Cause For Concern?

Brief Answer: hypothyroidism in pregnancy. Detailed Answer: Hello, Thanks for the query to HCM, The TSH levels during early pregnancy should be maintained between 3.2-3.8, to allow the pregnancy to be safe and allow good placentation else there is an increased chance of treated miscarriage and also long term effect is seen in child's IQ level. So thyroxine supplementation has been rightly done with 25mcg daily and to be continued through out pregnancy till delivery . Thyroxine is safe in pregnancy and has no adverse effect on the child. Regards