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Is high TSH level in pregnancy concerning at 31 weeks?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

My wife is 31.3 weeks pregnant. My wife, as well as my baby, is good. Every month on 5th we regularly do routine blood tests like FT4, TSH, CBC, fasting sugar and PP. She is a thyroid patient and in the dose of Eltroxin (125+25) every day. This time her TSH came as 3.667 though the normal range is 4.7. When I see reference range in pregnancy that says up to 3.0 is normal. Please suggest if this borderline high is fine. What should we do now? Her gynecologist stated that she will make her deliver after a month exactly from now. Please help as I am in deep stress.

Answered by Dr. Anindya Das

Hi,

Welcome to icliniq.com.

Your wife is in the third trimester of her pregnancy. In the third trimester, the recommended level of TSH should be under 3. If the recommendation has to be followed, then this is beyond the normal range. You should consult your gynecologist and endocrinologist who can examine your wife and decide further course of management.

Patient's Query

Hi doctor,

Is this very high? Will it cause any impact on delivery?

Answered by Dr. Anindya Das

Hi,

Welcome back to our platform.

No, it is not very high. This level should not have any impact on delivery.

Answered byDr. Anindya Das

Medically reviewed byiCliniq medical review team

Published At January 28, 2017
Reviewed AtApril 28, 2025

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Dr. Anindya Das

Obstetrics and Gynecology

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