Q. Can someone with Hashimoto's disease plan for pregnancy?

Answered by
Dr. Thiyagarajan. T
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Sep 25, 2022

Hello doctor,

My free T4 levels are normal. TSH is 4.8 mU/L, and TBO antibodies are 613 IU/mL. Currently, I am not taking any thyroid medications. Also, I do not have symptoms of hypothyroidism. Three years back, my TSH levels were elevated and returned to normal after taking vitamin D. Can I try for pregnancy with Hashimoto's disease?

Kindly advise.



Welcome to

I understand your concern.

Yes, you can try for pregnancy. As soon as pregnancy is confirmed, check TSH (thyroid-stimulating hormone) and T4 (thyroxine). You will probably need to take thyroxine tablets. However, I suggest you start with a small dose of thyroxine now. The benefit of taking a small dose of thyroxine outweighs the risks.

Answers to these questions will help me give you a more personalized recommendation.

Thank you.

Hello doctor,

I am trying for pregnancy for the first time. So, I wanted to check about thyroid before planning for pregnancy. I am 32 years old. Please suggest a suitable dose for thyroxine.



Welcome back to

I suggest you take a tablet Thyroxine 25 mcg once daily. Then, recheck TSH in eight weeks, and if TSH is still more than 3 mU/L, increase the dose to 50 mcg.

I hope this helps.

Thank you.

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