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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pregnant, Advised Increase In Dosage. When Should I Take Test For TSH During The Term?

Hi, I was on thyronorm 100mcg daily before conception and my tsh values were 1.24 units. My gynaecologist asked me to make it 125 mcg daily when I became pregnant ( pregnancy test positive ie, four weeks pregnant).Kindly advise as to when all I should be testing my tsh during the entire course of 9 months and will my dose be changed to a higher dose again? With thanks..
Wed, 8 Oct 2014
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Endocrinologist 's  Response
Hi,
A 20-30% increase in thyroxine dose is needed in pregnancy. That is why your thyroxine dose were increased.
The recommendation is to test the thyroid function tests every month (TSH and total T4) in pregnancy. If your TSH goes above 2.5 miu/l you may need to increase the dose after consulting a doctor.

Hope I have answered your querry

Regards
Dr Ajish TP
Consultant Endocrinologist
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Pregnant, Advised Increase In Dosage. When Should I Take Test For TSH During The Term?

Hi, A 20-30% increase in thyroxine dose is needed in pregnancy. That is why your thyroxine dose were increased. The recommendation is to test the thyroid function tests every month (TSH and total T4) in pregnancy. If your TSH goes above 2.5 miu/l you may need to increase the dose after consulting a doctor. Hope I have answered your querry Regards Dr Ajish TP Consultant Endocrinologist