Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

126 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Pregnant and have hashimotos thyroiditis. What should I do to manage the synothroid?

Answered by
Dr.
Dr. Rahul Tawde

General & Family Physician

Practicing since :1980

Answered : 1 Question

default
Posted on Fri, 14 Dec 2012 in Thyroid Problem and Hormonal Problems
Question: I am 6 weeks pregnant and also have Hashimotos Thyroiditis. Antibodies are off the charts. I currently take 75mcg synthroid but understand I may need to increase my dose. This should be simple but on one say my TSH is 2.0 the next day without missing a pill my TSH was > 10. The only response my endocrinologist offered was "you must have missed a pill" but that is NOT true. Please educate me on my thyroid condition affecting my pregnancy and what the best way to manage the synthroid.
doctor
Answered by Dr. Rahul Tawde 3 hours later
Dear Friend,
Thanks for writing in. You are having hypothyroidism in which thyroid gland doesnot make enough tjyroid hormone. Treatment of this condition is to administer levothyroxine(synthroid) from outside. Syntroid is synthetic form of levothyroxine and it will have to be taken lifelong. The most probable explanation for discordant TSH reports in an interval of one day is laboratory error. One of them has to be wrong. Requirement during pregnancy for synthroid increases by 30 to 50%. So normally we advise the patient to take 9 tablets per week once they become pregnant. Next precaution is to take synthroid early morning & empty stomach inorder to avoid erratic & variable absorption. No coffee, tea or breakfast for next one hour. Next precaution is to get thyroid tests from a single reliable lab rather than changing the lab each time. If a lab gives 2 different reports on 2 consecutive days better to change the lab to a more reliable one. I think beyond this there is nothing specific for a thyroid patient with pregnancy. There will be physiologic variation in TSH values during pregnancy which your doctor will be able to interpret and explain you.
Get back to me for any other doubts.
Shivaprasad
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,  
Drug/Medication
Medical Topics

Recent questions on  Thyroid disease

doctor1 MD

I have recently had a thyroid removal surgery which went very well however, less than 2 weeks later I have a rash on my chest that is spreading and my neck, shoulder and arm (left) has pain. could it possibly be mercer (spelling?) and what does mercer look like?

doctor1 MD

I am 66, 5'2" and 155lbs. I developed a fib 2 years ago (now regulated) and was put on an older beta blocker plus I have high blood pressure for which I am now on the 5th different med ...I take 0.137 mg synthroid daily for 30 years, strength has varied over the years from 0.075 to as high as 0.2mg...my tsh, which is the only measurement my physician will consider, is usually 2.5 or thereabouts...in the last few months my hypothyroid symptoms have increased and on the last lab my tsh was very high, over 8 so I know my thyroid level is very low...I am very fatigued, depressed and most upsetting am eating less and getting fatter, where before I was overweight but firm and now I can feel fat in my thighs and upper arms plus around my abdomin which I never had before. Research shows the older type of beta blocker, atenolol, can slow metabolism and cause insulin resistance, (I am not diabetic) is it safe to simply stop one beta blocker and start another...in fact, I'd like to get off it altogether but the last time my physician said to just stop taking it, I developed pvc's which was corrected by increasing the atenolol. I am distressed about the side effects of this drug and wld like to take something less toxic.

doctor1 MD

Yes, when I was pregnant, i experienced tachycardia requiring beta blocker and nausea during first 12 weeks. I recently started physician supervised hcg injections for weight loss. after 8 days, i experienced tachycardia (160) and severe nausea. injections were stopped but sime residual tachycardia has remained. normally, my TSH is always in the low normal with normal T4 and T7 would this be thyroid related

doctor1 MD

Hi. A few days ago I started experiencing heart palpitations. I feel my heart fluttering in my chest and throat. It doesn't happen when I am moving around. It starts when I sit down, upright on the couch or in a chair. It stops when I lie down or...

doctor1 MD

I recently got AMA - Anti Microsomal Antibody test done. The range was supposed to be 34 as Positive. My reading showed a Value of 91. The lab person said this is very high. Can you plz let me know If I need to get any further tests done to know...

doctor1 MD

Thank you. About three weeks ago, I noticed a slight redness of skin at throat area. It waned and is now back on all over the front of my neck. The skin seems puffed and is very red. No small or large bumps on skin. My throat is mildly sore.