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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can TSH-.001 Affect Conception?

Hi drs. I am 37 5'3" 160lb recent diag hyperthyroid due to hyperfunctioing nodule. Tsh is.001 all other tests are normal (ft3, ft4, antibodies). Raiu scan showed complete suppression in right lobe. Us confirms large hot nodule in left (basically whole left lobe) and a few very small cold nodule in right (less than 1 cm). I have been trying to conceive since tubal reversal in sept so time is of essence to ht pregnant. Endo wants lobectomy. Other than tsh level I have no symptoms. Do I really need to rush into removal? What are chances I can conceive and have normal pregnancy or will pregnancy trigger symptoms? Obviously I'd rather wait on thyroid til after baby .... Don't want to be rash but also don't want to be reckless.
Wed, 16 Nov 2016
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Endocrinologist,  's  Response
Hello,
I can understand your difficult situation.
Normally, the TSH level should be corrected before planning a pregnancy.
It takes 4-6 weeks to be corrected with metimazol.
Rather to remove it surgically before planning a pregnancy or after delivery is difficult decision. If you lobectomy before pregnancy, the right lobe will not compensate the function of the gland during pregnancy and you will still be under control and treatment with hormone replacement.
If you decide to remove it after delivery, than you should be under close monitoring (every 4 weeks) during pregnancy and adjust the dose of antithyroidien tablets.

For a personalised comprehensive evaluation, treatment recommendations, or individual therapy, ask me at HealthCareMagic at this private link:
HCM Dr. Guni

Kind regards,
Dr.Mirjeta
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How Can TSH-.001 Affect Conception?

Hello, I can understand your difficult situation. Normally, the TSH level should be corrected before planning a pregnancy. It takes 4-6 weeks to be corrected with metimazol. Rather to remove it surgically before planning a pregnancy or after delivery is difficult decision. If you lobectomy before pregnancy, the right lobe will not compensate the function of the gland during pregnancy and you will still be under control and treatment with hormone replacement. If you decide to remove it after delivery, than you should be under close monitoring (every 4 weeks) during pregnancy and adjust the dose of antithyroidien tablets. For a personalised comprehensive evaluation, treatment recommendations, or individual therapy, ask me at HealthCareMagic at this private link: HCM Dr. Guni Kind regards, Dr.Mirjeta