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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does My Low TSH Level Affect My Pregnancy?

I am 9 weeks pregnant and my tsh is 0.019 how will this affect my pregnancy. This is my seventh pregnancy, i have four boys and one girl all healthy,i had a miscariage 4months ago. I am 29 year old belgian general physician . No other deseases. my mother had a thyreotoxyc nodule.
thak you
Wed, 19 Mar 2014
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OBGYN,  's  Response
Hi. You are having hyperthyroidism. Start taking antithyroid drugs and better will be to take PTU in pregnancy, instead of Carbimazole. You can consult your treating gynecologist and you are a physician yourself. You will have to repeat thyroid profile after 4-6 weeks and get FT3, FT4 and TSH.Latest recommendation is to give PTU in early pregnancy as it does not cross placenta and carbimazole in later months. You will also have to get TRab at 26 - 28 weeks to see the risk of neonatal hyper thyroidism. Keep a regular follow up with your dr. and regular scans done. A well controlled thyroid diseasein pregnancy has a good maternal and fetal outcome.
Thanks.
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Does My Low TSH Level Affect My Pregnancy?

Hi. You are having hyperthyroidism. Start taking antithyroid drugs and better will be to take PTU in pregnancy, instead of Carbimazole. You can consult your treating gynecologist and you are a physician yourself. You will have to repeat thyroid profile after 4-6 weeks and get FT3, FT4 and TSH.Latest recommendation is to give PTU in early pregnancy as it does not cross placenta and carbimazole in later months. You will also have to get TRab at 26 - 28 weeks to see the risk of neonatal hyper thyroidism. Keep a regular follow up with your dr. and regular scans done. A well controlled thyroid diseasein pregnancy has a good maternal and fetal outcome. Thanks.