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What Does High TSH Level During Pregnancy Indicate?

Posted on Tue, 9 May 2017

Question: Hi... I'm 28 F
I have hypothyroidism and I take Thyronorm 50mcg
Today I tested TSH value fasting without medication and value is 6 which is more... In December when I tested it was 2.4 ( fasting without medication).
I'm 5 week 4 days pregnant... My gynaec told to continue 50 mcg,..... I'm worried since TSH value is high and she told to continue same... she should have increased dosage ??

Answered by Dr. Dr.Raju.A.T (8 hours later)

Brief Answer:
T3 and T4 levels ?

Detailed Answer:
Hi,

Thanks for your query.

Can you please share T3 and T4 levels in the same test.

Waiting for your response,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.Raju.A.T (1 hour later)

since I have hypothyroidism I dint do test for t3 and t4... only TSH test was done

Answered by Dr. Dr.Raju.A.T (18 hours later)

Brief Answer:
Requirement is more in pregnancy

Detailed Answer:
Hi,

Thanks for writing back.

In pregnancy thyroid hormone requirement is more, hence over correction is not a problem unless T3 and T4 levels are within range.

Hope, I answered your query.

Regards,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.Raju.A.T (7 hours later)

My gynaec told me to continue 50 mcg... but I'm worried since value is high... dosage should be increased?? Should I consult endocrinologist??

Answered by Dr. Dr.Raju.A.T (16 hours later)

Brief Answer:
Need not worry

Detailed Answer:
Hi,

Thanks for writing back.

As I previously said, the requirement for thyroid hormone is more in pregnancy.

Its always good to be cleared of doubt. Do consult a endocrinologist for better assurance.

Regards,

Above answer was peer-reviewed by : Dr. Raju A.T