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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From Hyperthyroidism. Pregnant. TSH 6.2. Had Miscarriage Earlier. Precautions?

My wife is suffering from hyperthyroidism. She discontinued the dose (50, 75 alternate) for about one month. During this month she got pregnant and then she checked my TSH is 6.2. She started her previous dose (50, 75 alternate). So she is one month pregnant but little worried her TSH will affect development of baby. A miscarriage of 6 month had taken place on Sept., 12 due to loss of fluid.
Wed, 25 Sep 2013
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General & Family Physician 's  Response
HI, thanks for using healthcare magic

It is understandable to be concerned.

The fact that your wife has a history of using thyroid hormone replacement suggests that she has hypothyroidism (low levels of thyroid hormone) not hyperthyroidism (high levels of thyroid hormone).
In hypothyroidism the levels of the thyroid hormones are low ( t3 and t4) and the TSH is high.

Hypothyroidism can place the baby at risk and it is important that your wife's levels return to normal to ensure that the baby develops appropriately.

In some cases the dose has to be increased by 25 to 30 %. it would be best for your wife to consult her endocrinologist as soon as possible for adjustment of the medication doses.
Once this is done the chance or likelihood of an uncomplicated pregnancy and a normal baby would be significantly improved.

I hope this helps
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Suffering From Hyperthyroidism. Pregnant. TSH 6.2. Had Miscarriage Earlier. Precautions?

HI, thanks for using healthcare magic It is understandable to be concerned. The fact that your wife has a history of using thyroid hormone replacement suggests that she has hypothyroidism (low levels of thyroid hormone) not hyperthyroidism (high levels of thyroid hormone). In hypothyroidism the levels of the thyroid hormones are low ( t3 and t4) and the TSH is high. Hypothyroidism can place the baby at risk and it is important that your wife s levels return to normal to ensure that the baby develops appropriately. In some cases the dose has to be increased by 25 to 30 %. it would be best for your wife to consult her endocrinologist as soon as possible for adjustment of the medication doses. Once this is done the chance or likelihood of an uncomplicated pregnancy and a normal baby would be significantly improved. I hope this helps