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Conception

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Conceiving/pregnancy with hashimotos

9 replies

healthconcernedliz · 05/11/2024 00:18

I was diagnosed with hashimotos 9 months postpartum, after having my first child and I want to start trying for another baby. My tsh is at a good level at 1.08 so I'm hoping conceiving will be successful. Can anyone tell me what their experiences with conceiving and pregnancy were?

Did you need to increase your levothyroxine dosage? How did you find your pregnancies?

OP posts:
peanutbuttertoasty · 05/11/2024 00:31

Sounds like your TSH is really good. Should be under 2 for conception and I think rising to under 3 in pregnancy.
they should up your meds by (normally) 25 mg when you get pregnant.
pregnancy itself actually calms autoimmune disease so you can expect a reprieve, but possible flare up several months post partum.

i was diagnosed about 5 years before having my baby and the pregnancy was totally fine

peanutbuttertoasty · 05/11/2024 00:33

Ps I did go gluten free for about 6 months before conceiving which was a bit of a ballache but helped I think. Strong link between gluten and Hashis unfortunately

mummybearsurrey · 05/11/2024 01:13

Hashimotos here with unexpected 4 year age gap. Eventually resolved by making this changes
Went gluten free
Daily Vitamin d3
Magnesium
Liothyronine AND increased levothyroxine
+low dose naltroxene (aka LDN)

This is what got me pregnant.
Highly recommend

Cinai2 · 05/11/2024 01:20

No issues here, I had a similar good TSH when getting pregnant. I did a (private, NHS wouldn’t test that often, but that’s what’s been recommended by my endocrinologist) blood test every 4 weeks to closely monitor my TSH during pregnancy. I only increased my dose of Levo thyroxine when I was 7/8 months pregnant because up until then, my TSH didn’t rise.

peanutbuttertoasty · 05/11/2024 09:26

mummybearsurrey · 05/11/2024 01:13

Hashimotos here with unexpected 4 year age gap. Eventually resolved by making this changes
Went gluten free
Daily Vitamin d3
Magnesium
Liothyronine AND increased levothyroxine
+low dose naltroxene (aka LDN)

This is what got me pregnant.
Highly recommend

Did you go privately to get those drugs?

healthconcernedliz · 06/11/2024 02:02

@Cinai2

That's really good to hear and was your labour okay? Did the NHS refer you to an endo or did you go privately? Do you remember what your tsh was during your pregnancy? Thanks x

OP posts:
Cinai2 · 06/11/2024 13:14

I had a planned c section but not related to my thyroid. I found the NHS quite useless tbh, the midwife I spoke to at booking appointment didn’t know what Hashimotos was and I only got a consultant appointment to discuss this further for when I was 18 weeks. Obviously I didn’t want to risk miscarrying before that due to my thyroid levels so I went to a private endocrinologist to come up with a plan, and started testing my TSH every 4 weeks. They were between 1.10 and 1.6 for most of my pregnancy without increasing my dose. At around 7 months it was 2.1 and I gently increased to get it back below 2. It was 1.4 again before delivery.
Also, don’t forget to check again soon after pregnancy, I checked 4 weeks postpartum and TSH suddenly was 0.08, which is now out of the norm but the opposite direction so I need to lower my medication again. Good luck!

healthconcernedliz · 06/11/2024 17:51

@Cinai2

Thank you! Did you increase your dosage yourself or were you prescribed the gentle increase? X

OP posts:
Cinai2 · 06/11/2024 20:26

I said I’d like to increase it and they said ok…I know that I’m feeling best of my TSH is below 2, even when not pregnant. I learned to take charge myself because often anything under 5 doesn’t flag as abnormal in blood tests and GPs are not great at advising on thyroid conditions.

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