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Q. My wife developed high TSH post pregnancy. Is this postpartum thyroiditis?

Answered by

Dr. Sakthivel Sivasubramanian

and medically reviewed by iCliniq medical review team.

This is a premium question & answer published on Mar 23, 2016 and last reviewed on: Nov 27, 2019

Patient's Query

Hi doctor,

My wife, who is 29 years old, had symptoms of tiredness and dry skin. So, we tested her thyroid function. I found that her serum TSH level was 150 as well as free T4 below normal. Is this symptom of hypothyroidism? She delivered a baby seven months ago and the test was done recently. She is still breastfeeding. Is it postpartum thyroiditis? I felt she has mildly enlarged thyroid, but I am not sure. I am planning to undergo ultrasonography for thyroid. During pregnancy, her TSH was normal. Do we need to start Thyronorm? Or can I wait for four to six to repeat the test for suspecting postpartum thyroiditis? Is it a must to go for USG? Is there a need to do any other laboratory tests?

Answer

Dr. Sakthivel Sivasubramanian

Dr. Sakthivel Sivasubramanian

Endocrinology

#

Hi,

Welcome to icliniq.com.

It could be postpartum thyroiditis or unmasking of autoimmune hypothyroidism.

As it is most likely to be the latter, kindly start her on Thyroxine 75-100 mcg once daily (Levothyroxine) depending upon her weight.

Check TSH (thyroid stimulating hormone), FT4 (free T4), Anti TPO antibody (thyroid peroxidase) after two months. No need for USG now.

For further information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist

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Dr. Sakthivel Sivasubramanian

Dr. Sakthivel Sivasubramanian

MBBS., MD (GEN MED)., DM (ENDOCRINOLOGY)

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