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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Will Thyroid Create Any Issues During Pregnancy?

hi m 29 years old. m thyroid patient from last 12 years. m having h baby girl. but there was some problem in my pregnancy in initial 4 month in uterus. but with medication everything was normal. this time my Dr advice me to inject 2 HMG injections. now she told me to have 2 ferti c 5000 injections. is it save for me or should i skip these injections ?
Thu, 9 Jun 2016
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Endocrinologist 's  Response
Hello
Thyroid hormones in pregnancy should be addressed well.
The baby in your womb is very much dependent on you in the initial 4 months for its thyroxine requirements
Therefore you should increase the dose of thyroxine by 30% soon after you are diagnosed o be pregnant.
Thyroid hormone is very essential for the brain development mostly ex utero.
But higher TSH level (the cut off > 2.5 in first trimester and >3 in the third trimester) is aasociated with higher incidence of abortions in the early trimesters and later is associated with mild decrease in IQ of the baby.
HMG injection is unlikely to affect thyroid status of mother and hcg can increase the thyroid hormone levels in blood.
But there is no contraindication for hmg or hcg infection
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Will Thyroid Create Any Issues During Pregnancy?

Hello Thyroid hormones in pregnancy should be addressed well. The baby in your womb is very much dependent on you in the initial 4 months for its thyroxine requirements Therefore you should increase the dose of thyroxine by 30% soon after you are diagnosed o be pregnant. Thyroid hormone is very essential for the brain development mostly ex utero. But higher TSH level (the cut off 2.5 in first trimester and 3 in the third trimester) is aasociated with higher incidence of abortions in the early trimesters and later is associated with mild decrease in IQ of the baby. HMG injection is unlikely to affect thyroid status of mother and hcg can increase the thyroid hormone levels in blood. But there is no contraindication for hmg or hcg infection