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I am 4 months pregnant with hyperthyroidism. Is PTU good for me during pregnancy?

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Patient's Query

Hello doctor,

I am 26 years old. I have a problem with hyperthyroidism during my pregnancy. I am in my fourth month of pregnancy with TSH- 0.07, T4- 161, T3- 2.34. What are the complications with this? Is it good for me to take PTU.
Answered by Dr. Zulfiqar Ahmed

Education:

MBBS

Professional Bio:

Dr. Zulfiqar Ahmed is an experienced Endocrinologist and Diabetologist with expertise in managing diabetes, thyroid disorders, hormonal imbalances, obesity, and metabolic syndromes. He specializes in personalized treatment plans focused on long-term health and disease prevention. Dr. Ahmed is committed to delivering evidence-based, patient-centered care, helping individuals achieve better hormonal balance and improved quality of life through accurate diagnosis and advanced therapeutic approaches.

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Hi,

Welcome to icliniq.com.

Hyperthyroidism in pregnancy is usually treated with Propylthiouracil 50-100 mg/day. Generally, treatment is withdrawn four weeks prior to delivery after which normal doses may be resumed. Your hormone levels are still very high, you need to increase your dose. Pregnancies complicated by uncontrolled hyperthyroidism may result in higher incidences of spontaneous abortion (miscarriage), preterm labor, low birth-weight babies, or stillbirths. Complications of pregnancy, including pre-eclampsia (a condition associated with hypertension, low blood platelet count, protein in the urine, and mental changes) may also occur. So please increase your dosage.

Another thing I want to highlight is that you should do TSH (thyroid-stimulating hormone) receptor antibodies and to see the cause of hyperthyroidism. Is it Graves’ disease? These antibodies can enter from the mother's blood to the baby's blood and stimulate the baby's thyroid gland. These antibodies should be measured in the mother during her second trimester of pregnancy because the values that are greater than five times normal have been associated with hyperthyroidism in the baby at birth.

Medically reviewed by Dr. Vinodhini J.
Published At April 25, 2020
Reviewed At June 8, 2023

Education:

MBBS

Professional Bio:

Dr. Zulfiqar Ahmed is an experienced Endocrinologist and Diabetologist with expertise in managing diabetes, thyroid disorders, hormonal imbalances, obesity, and metabolic syndromes. He specializes in personalized treatment plans focused on long-term health and disease prevention. Dr. Ahmed is committed to delivering evidence-based, patient-centered care, helping individuals achieve better hormonal balance and improved quality of life through accurate diagnosis and advanced therapeutic approaches.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Vinodhini J. is a Dental Surgeon with extensive years of clinical experience. She specializes in the diagnosis, prevention, and treatment of dental and oral health issues, including restorative, surgical, and cosmetic procedures. With a patient-centered approach, she focuses on maintaining oral health, alleviating discomfort, and enhancing smiles. Her expertise ensures comprehensive care tailored to each patient’s dental needs and overall wellbeing.

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Dr. Zulfiqar Ahmed
Dr. Zulfiqar Ahmed

Diabetology

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Education:

MBBS

Professional Bio:

Dr. Zulfiqar Ahmed is an experienced Endocrinologist and Diabetologist with expertise in managing diabetes, thyroid disorders, hormonal imbalances, obesity, and metabolic syndromes. He specializes in personalized treatment plans focused on long-term health and disease prevention. Dr. Ahmed is committed to delivering evidence-based, patient-centered care, helping individuals achieve better hormonal balance and improved quality of life through accurate diagnosis and advanced therapeutic approaches.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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