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

169 Doctors Online
Doctor Image
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. Rahul Tawde

General & Family Physician

Practicing since :1980

Answered : 1 Question

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.
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.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

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

Recent questions on  Thyroid disease

doctor1 MD

Hi I have been tested negative for thyroid & liver problems & arthritis. However I am unwell at least for sometime every day and have the following symptoms. Slight arrythmia, heat intolerance, even when it isn t hot at all I can heat up a lot, when i drink even cold drinks I heat up. Breathlessness, anxiety, irritability, fatigue, trembling hands, muscle weakness, depression, concentration difficulties, even when I eat a lot I don t put on weight. I have difficulty getting back to sleep when I wake up at night, pains/aches in joints and hands, mood swings, forgetfullness, body odour problems. When I twist the upper part of my body, where my thyroid is it feels like something is grinding and it blocks my airways a bit making it difficult to breathe. I take no medications apart from a ventolin inhaler. I have been diagnosed with adhd, tourette syndrome & depression. It really appears to me to be a thyroid problem but the tests have always been negative

doctor1 MD

I have been lightheaded for 3 months. 40 yr old female. Very healthy. Experienced nausea, weight loss, fatigue and diarrhea for the first 2 months. Now the lightheadedness comes in waves. Any ideas? All tests have come back normal. Brain MRI, vng tests, thyroid, eye exam, hormones, blood tests etc

doctor1 MD

I recently had the left portion of my thyroid removed due to an enlarged nodule. Since the surgery (7 days ago) i have been feeling very jittery. I have been unable to sleep for the past few nights. There was no evidence of hyper or hypo thyroid prior to the surgery. I am not on any thyroid medications. I take Celexa 40 mg once/day, daily vitamin and calcium supplement. Is this normal after this type of surgery?

doctor1 MD

dear doc Greetings, i am from nairobi kenya i was just reading article you are thyroid specialist in india. i just got operated in november 2nd time in nairobi i had larger nodule which had to remove after surgery docs could not remove all as it had in between arteries. there is a liitle gland still left next to heart arteries doc is saying i need to get a lower radio iodine treatment to destroy gland properly. i am attaching you all my reports. kindly please advice how do i go about and if there is any other treatment for my problem.Awaiting your soonest reply thanks shariba

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.