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.
Published on Mar 23, 2016 and last reviewed on: Nov 27, 2019

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?

#

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


Was this answer helpful?

 | 

Ask a QueryAsk a Query Consult by PhoneConsult by Phone Video ChatVideo Chat
Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers


I am having intermittent palpitations. Is it due to hypothyroidism?

Query: Hello doctor, I am 28 years old. Experiencing intermittent palpitations from last three months. ECG, echo, TMT is normal. The lipid profile shows increased triglycerides in serum 189 mg/dl. Recently, I was diagnosed with subclinical hypothyroidism for which I am taking Levothyroxine from last one m...  Read Full »

Can a double dose of Levothyroxine help until I get to see a doctor?

Query: Hello doctor, I got my lab results recently. I have an appointment with the thyroid doctor in a week. I am afraid of going to the ER plus I have muscle spasms, body jerks, and confusion. Two days ago, I took a double levothyroxine dose of 125 mcg. Yesterday, I added 5 mcg synthetic T3, ma...  Read Full »

Kindly advise on the dose of Levothyroxine as I had a severe reaction for Nature-Thyroid?

Query: Hi doctor, I was switched to Nature-Throid. Within nine days, I had a severe reaction. It caused panic attacks at night, waking up in sweat and insomnia. Then, my naturopath took me off and said to go back to my Levothyroxine. I take 88 mcg daily and 25 mcg once a week. I just realized that I forgo...  Read Full »

Popular

Popular

Ask your health query to a doctor online?

Ask an Endocrinologist Now

* guaranteed answer within 4 hours.
Enter Your Health Query
You can upload files and images in the next step.

Fee:  

 


Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.