Thyroid in early pregnancy

[Whippet1]

Hi!
I was just wondering if anybody had any experiences of their underactive thyroid and pregnancy?
I am 5 weeks pregnant ( through ivf) and pushed to have my bloods check yesterday ( I was pregnant earlier this year, also through ivf which resulted in miscarriage at 5/6 weeks). The result of the test is that my levels have risen from 1.9 in August 2014, to 3.9 currently. I'm really worried as I have researched the correct pregnancy level to be no more than 2.5 and am stressing re miscarriage again - wondering if this was the cause the first time around ( my GP told me check up on bloods wasn't needed until 12 weeks back then)!
Has anybody had a level higher than 2.5 and been successfully pregnant?
Many thanks in advance ! X

[Topseyt]

I may have done, but it was not tested at the points when I was pregnant.

I have an autoimmune problem Graves Disease) which causes an overactive thyroid, and can be associated with infertility, though mine didn't fully manifest itself until a couple of years after my last baby had been born, so I was very fortunate there.

I could be wrong, but I don't think a thyroxine level of 3.9 is considered high. Doesn't it have to be below 11? Above that and it is considered a bit high. Mine was 84 when I was ill.

Ask your GP about it. Good luck, and I hope things settle down.

[HazleNutt]

it's probably TSH the OP is talking about.
OP, have you adjusted your dose? Thyroxin works really fast. Just checked that yes, mine went up to 5,5 in early pregnancy - increased my dose from 125 to 150, all is fine, an 31 weeks now.

[Topseyt]

I did wonder if it might be TSH, but OP didn't say.

[FlipperSkipper]

TSH of 3.9 is high in early pregnancy, you need to increase your thyroxine. Talk to your GP, take the NICE guidelines if need be cks.nice.org.uk/hypothyroidism#!scenariorecommendation:7

(I've also miscarried an IVF pregnancy and I'm sure it was because of undiagnosed hashimoto's hypothyroidism)

[nochurniscream]

Op here is the NICE advice cks.nice.org.uk/hypothyroidism#!scenario:3

I believe you should be increasing your dose immediately

I was ignorant when I fell pregnant, no one checked my levels but mentioned I'd get a consultant after 12 weeks. Unfortunately too late for me by then as i had a missed miscarriage just before my 12 week scan

Push for REGULAR tests and increase your dose

[ItsADinosaur]

I've also had a mc but went on to have a healthy baby. My endocrinologist wanted my TSH to be below 2.5 so as soon as I got pregnant again they increased my thyroxine. Pregnancy is different so your go needs to follow the guidelines.

[ItsADinosaur]

GP, even.

[mugglingalong]

I increased my dose as soon as found out I was pg. Was referred to endocrinology who monitored me. Ds is now in reception and doing very well academically. I would ask for an urgent referral.

[brittabot]

My GP said anything under 4 was fine in pregnancy, but the endocrinologist I saw said should be under 2.5. I had TSH of around 3.9, they increased my dose and all was well.

[sparechange]

I could write a book on this, and most of it would be on how utterly useless GPs are.
I also had IVF, and my clinic kept a very close eye on thyroid levels, prescribing me Thyroxine to keep it under 2.5 (and saying they wouldn't start treatment until my levels were under 2.5)
When I got my bfp and went to see my GP, they told me that they didn't think anything under 5 was a problem and wouldn't actually prescribe thyroxine until it was over 10 and demostrably rising by not being on thyroxine.
Worried, I called my clinic, who brought me back in to get my TSH checked and then prescribed my with a slightly higher dose to get my thyroxine back down under 2.5.
I did mention this to the midwives at my booking in appointment, who then referred me to the endo consultant within midwifery who wrote a very stern letter to the GP, so you might have more luck once you are in the maternity system.
In the meantime, don't panic, but maybe speak to your IVF clinic and see if they will test your TSH and prescribe you thyroxine for the next few weeks...
You need to kick up a stink with your GP though. They are universally useless with thyroid issues

[withalittlebitofluck]

Where I am you have to see endocrinologist by 8 weeks who does the adjusting of thyroxine. Mine always went up 25mcg as soon as I told them I was pregnant: my 4 child the midwife refused to take thyroid bloods (didn't want to have to work it out) and I had a level of 12 I believe but the consultant change dose and I'm currently cuddling my very healthy happy 15 week old x

[Whippet1]

Thank you all - your experiences are so helpful.
I feel so frustrated as GP told me numerous time I didn't need testing and I blindly listened grrrr!
I have started taking an increased dose today at 5 weeks pregnant. Do you think this will enter my system quick enough to still have a successful pregnancy? I have been referred to a endocrinologist too - only because my regular GP is on holiday so luckily I got a different one! So worried.

[Christelle2207]

You'll be ok, your TSH is not that high but any endocrinologist will tell you that ideally it would be a bit lower in pregnancy. Mine told me though that they had seen plenty of pg women with TSH in double figures.

In my first pg my TSH had been about 5 when I got pregnant but with higher dose of thyroxin came down slowly but steadily to 2 point something and all turned out fine.

[sparechange]

Yours isn't excessively high, and you've upped your dose, so you should be fine. Great news that you have got a referral as well

[phlebasconsidered]

I was diagnosed after DS was born with a tsh of 450 plus ( it did'nt go any higher !) I didn't even realise I was pregnant with dd as I'd not had a period, felt awful 're thyroid, and was still very ill, until I was 6 months, and even then only because the hospital tests showed it up! My tsh then was in the 60s and my t4 had only just appeared again. They gave me lots of scans, upped dose asap, and she is fine, very bright, and perfect 6 years down the line.

[Naty1]

Ivf does raise your tsh.
Not sure how high mine got. I increased dose at 4wks pg on advice of ivf clinic 25mcg a day.
It did make my tsh a bit hyper.
But i was only on a low dose.

[Christelle2207]

Oh also I had to take ds to have his blood tested at the hospital
when he was very small-
IIRC about a week.
In case he had an issue with his thyroid.

He didn't.

[greenolive]

Try not to worry. in my first pregnancy, despite increasing dose by 25mcg a day TSH still rose to 16. Upper my thyroxine again and baby was absolutely fine - very bright and advanced (almost 4 now). I remember being in a panic about developmental delay etc but Consultant was very calm.

Second pregnancy TSH raised to 5.9 but have upped dose again

It's true that ideally TSH should be under 2.5 but it's not that high, please don't worry. You've increased your dosage now and will increase quickly.

[Whippet1]

Thank you all! X

[mugglingalong]

Horray for locum gp! I imagine that you will be fine. Lots of people don't even know that they are pg at 5wks. You've done the best that you can for your baby. Good luck.

[Whippet1]

Update-the is to advice and info on here I was able to see Endc today and they don't think my levels a concern. Now in the system so they can keep a close eye on it.
Thanks everyone!

[User3112]

Hi all just thiught I would comment on this post as I had my thyroid removed at 13 and my thyroid levels has played a massive part on my pregnancy conception and pregnancies in general. I took over a year to fall pregnant due to fluctuating thyroid levels they do need to be between 0.5 and 2 and as soon as mine were I fell pregnant. I have had two pregnancies so far. GPs generally don't know much about your theyoid levels so when you get pregnant ask for a blood test around 8 weeks as your levels can fluxtuate. First pregnancy just needed to stay on same amount. 2nd pregnancy my tsh at 9 weeks was 5.7 which is too high so did 4 weeks at an increased dose of 125mg to 150mg and retested 4 weeks later and down to 1.7 much better and all still OK currently 15 weeks. In my experience it's best to ring you GP at 8 weeks and say midwife asked for thyroid blood test. Then Probs again at 16 weeks xx