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hypothyroidism

9 replies

kashers2412 · 02/08/2014 13:50

I am freaking out a bit here. I just got a BFP yesterday. Obviously wonderful news and is our first child after IVF treatment. I will be 5 weeks pregnant on Wednesday. I have hypothyroidism and am normal on 125mcg of thyroxine a day. Being weekend I cannot call gp and am worried as thyroid levels can affect the baby's development. Is there any hypothyroid ladies who can advise. I am obviously going to call my gp first thing Monday morning. X

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Pobblewhohasnotoes · 02/08/2014 14:00

I'm hypo too and 39 weeks. Congratulations btw!

Do you see an endocrinologist? If not get your GP to refer you to one, I'm guessing you'll see an obstetric team anyway due to the IVF (sorry I don't know anything about it)? I see both of those and the high risk midwife team.

Yes it can effect the baby in the first trimester as it relies on you for the thyroid hormone production so there is a risk of mc or affect on development if not treated correctly. So you'll need bloods taking to see what your levels are. Generally medication is increased by 25-50%. I mc last year so mine were increased as soon as I found out I was pregnant. I've had bloods taken every trimester but apart from that my meds haven't increased again and the endocrine team haven't been worried about me at all. Infact I've seen them less than anyone else!

My GP did the referral and I heard fairly quickly from the hospital.

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chloechloe · 02/08/2014 14:34

Hey kashers I'm in a similar situation to you, 6 weeks preg with first baby after IVF and also hypothyroid. My Dr at the FC was actually quite relaxed about it and only checked my levels after the BFP when I asked him to as I needed a new prescription. To be honest I was on a fairly high dose for me (75) during IVF so that my TSH was well under 2, so I guess that left plenty of leeway.

Like pobble says your meds may need increasing as the baby relies on you for its thyroid hormone supply in the first 12 weeks. I suggest you get your levels checked on Monday, but I doubt a couple of days of delay will cause a problem. If anything you may just feel more tired than usual. Please don't worry. Do you not have an appointment coming up with the FC now you have a BFP or do you go straight to the GP?

Congrats btw!

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kashers2412 · 02/08/2014 17:47

Thanks ladies. My FC just said obviously just keep taking the thyroxine. They didn't seem to anxious. I will just call my gp on Monday and get urgent appointment. Just went into panic mode today. I'll be 5 weeks on Wednesday. How are you feeling Chloe. I'm not too bad. Was weeing constantly but that is better today. Felt rotten yesterday but slightly better today. Just a bit tired. Just want to get that first scan to check the heartbeat out he way in 2 weeks.

I am under and endocrinologist in London but not due to see him until November.

Pobble not long now! Good luck! X

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Pobblewhohasnotoes · 02/08/2014 18:24

Thanks Kashers!

Can you phone your endocrinologist or any of the endocrine specialist nurses to let them know you're pregnant?

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Lisad1975 · 02/08/2014 19:12

Hi :)
Firstly congrats and dont panic !
I am
Hypo too and now 26 weeks and only just had my meds increased.
Defo let your endo know however your doctor will
Probably let them
Know . I am under a consultant at my hospital tho only see him every 6 weeks . I have regular blood tests ( 6 wks )
You will probably have a blood test at your booking in or mayb a bit earlier but if you are on correct dose at the beginning then its fine! Its more concerning if you were undiagnosed and pg !
You may increase over time .
Let us know how u get on ! X

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Lisad1975 · 02/08/2014 19:13

By the beginning I meant before you got pg !!!

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DinoSnores · 02/08/2014 22:10

Congratulations!

We advise our patients to increase their thyroxine by 25mcg a day as soon as they get pregnant, but a few days of a different dose isn't going to make a difference at all, honestly.

Get your TFTs checked on Monday. You might need to remind your GP that TSH targets are different in pregnancy, when we aim for around 1-2mU/L, rather than just within the normal range.

Thyroxine requirements tend to increase by 30-50% during pregnancy, as others have said.

Let your endocrinologist or the Endocrine Nurses attached to his team know you are pregnant. They can let you know the arrangements (every hospital works slightly differently) for being reviewed during your pregnancy, which might be being seen sooner in the Thyroid Clinic or being seen in a joint Obs-Endocrine clinic.

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MustShowDH · 02/08/2014 23:10

Watching as got bfp a few days ago and got a gp appointment Monday too. I'm also Hypothyroid and ran out of thyroxine yesterday. Oops!

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kashers2412 · 13/08/2014 16:36

Sorry I have just seen your kind messages. I called my gp that Monday and she was excellent. She got my bloods checked that day and called me the following day saying they were slightly out and increased thyroxine by 25mcgs. She then got hold of an endocrinologist locally (not my usual one up in London) who said protocol
Is up dose by 25mcgs straight away and then repeat bloods in 4 weeks. Perfect! Hope everyone ok. I am 6 weeks today and waiting for my scan on Tuesday to see heartbeat. Desperate to see and won't believe it until
I see it. I am so bloated and huge and look pregnant already! Boobs killing but no sickness yet ! X