Q. Will increased TSH level harm the baby's brain growth?
Hi doctor, I am 26 years old. My height is 5 feet inch and weight is 115.5 lbs. I am 20 weeks pregnant now. I underwent a surgery for complete thyroidectomy and I am taking Thyroxin 100 mcg regularly. In my first trimester, the TSH level was 0.31 and the doctor advised me to continue the same dosage of medicine. But, in my recent serum test, total T4 level is 10.5 mcg/dL and TSH has shooted to 14.37 mIU/L. The anomaly scan shows the baby is healthy with heartbeat of 153. But, I am worried about the TSH level which could harm the baby's brain growth. Doctor has prescribed 125 mcg of Thyronorm tablet for a month. Is it must to undergo an emergency thyroid check with an endocrinologist to avoid any complications?
Hi,
Welcome to icliniq.com
TSH (thyroid stimulating hormone) is very important for the baby's brain growth as rightly said by you. Therefore, it is imperative that we treat aggressively. Target TSH in the first trimester is 0.3 - 2.5 mIU/L and therefore the doctor did not change the treatment. I hope you are taking the medicine regularly. You ought to take the medicine on an empty stomach and should not eat or drink for one hour after the thyroid medicine. TSH target in the third trimester is 0.3 to 3 mIU/L. You continue taking the Thyronorm 125 mcg once daily and keep checking your TSH and FT4 (free thyroxine) once in four weeks. You need to maintain the TSH in the mentioned range and be very compliant with medicines. You can see the endocrinologist with the next TSH and FT4 and the tests have to be done on an empty stomach. Please tell me, when was the last TSH checked? And since how long you are taking the dose of 125 mcg?
Hi doctor,
I got my last TSH test done 75 days ago. I am taking the dosage of 125 mcg for around 2-1/2 months. I am worried about my baby's present status. How many days will take to show variation in TSH value?
Hi,
Welcome back to icliniq.com.
- It will take a minimum of four weeks to see the changes.
- The baby's brain would have developed by this time. So, I do not find a reason to worry now.
- Hence, relax and take the medicine regularly.
- Your iron, calcium and thyroid medicine should be in spaces by six hours between them.
For further information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist
Was this answer helpful?
|Same symptoms doesn’t mean you have the same problem. Consult a doctor now!
Related Questions:
Does thyroid problem delay pregnancy?
.. you follow the same dose as you are not a hyperthyroid yet. Also, if you are planning for your marriage and pregnancy, then this TSH value is normal. If the TSH (thyroid stimulating hormone) value is less than 0. Read full
My thyroid medicine makes me sick. Should it be changed?I just read your query and from what you have mentioned it appears that you have hypothyroidism ... I just read each one of your test results and from what it reads, it appears that you are slightly over corrected for Read full
Can thyroid problem cause excessive hair fall?They are tachycardia, palpitations, nervousness, tiredness, headache, excitability, sleeplessness, tremors, anxiety and heat intolerance ... Read full
Also Read Answers From:
Comprehensive Medical Second Opinion.Submit your Case
iCliniq's FREE Newsletters
Expert-backed health and wellness information, delivered to your email.
Thank you for subscribing to our Newsletters!
Also Read
PCOS and Liver Problems
The hormonal imbalances in polycystic ovary syndrome could cause liver diseases. Read the article to know the relationship between these medical conditions. Read more»
Inferior Alveolar Nerve Lateralization Technique
The inferior alveolar nerve lateralization technique is a surgical lateralization technique to reposition the nerve. Read the article to know more about this. Read more»
COVID-19 and Ebola: Similarities and Differences
This article gives a comparison and broader overview of the outbreak of the two deadliest diseases that showed a greater incidence over the last two decades. Read more»
Ask your health query to a doctor online?
Ask an Endocrinologist Now* guaranteed answer within 4 hours.