L.K. asks from Lincoln, CA on March 18, 2010
Hypothyroidism in Pregnancy
Hi. I just found out yesterday that I am pregnant. It was a bit of a suprise and now my husband and I are very worried about the affect my hypo will have on the baby. Actually, I have Hashimoto's, but I tend to stay in the hypo range. Everything I have read online makes it sounds like people with hypo are doomed unless they planned the pregnancy with their doctor and have been monitored. My last test was in January and my levels were good at that time, but I read that when you get pregnant it sends the levels all askew. I can't call a doctor yet because we have to get new insurance that covers maternity and that will take a few days. Do any of you know exactly what these websites are talking about when they say hypothyroid causes problems with the baby's brain development? Is that only if the levels go very low, as in an undiagnosed woman, or do they mean if they dip slightly the first weeks of the pregnancy there is a risk. Sorry I'm going on, I read enough online to freak myself out. I don't recommend that! I did go in for a blood test this morning, but I don't think I can wait until Monday for some kind of information, and so far my regular doctor has not responded to my message. Thank you for your time!
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B.C. answers from Norfolk on March 18, 2010
I was on Synthroid for several years before I had my son. The only thing they did was to increase my medication a little just before we got pregnant (we did IVF). My son's perfectly healthy.
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C.C. answers from San Francisco on March 19, 2010
Hi L.,
I have hypothyroidism (not Hashimoto's) and a surprise pregnancy. Its a very long story, but I didn't learn I was pregnant for several months and during that time, my thyroid was not monitored. My understanding is that so long as you continue to take your medicine and keep your thyroid levels in the normal range, the baby is no more at risk than any one else's baby. I think the websites are talking about women whose levels are really low. Good luck, C.
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L.H. answers from San Francisco on March 19, 2010
I also have hypothyroidism. (VERY low thyroid) I had my blood checked every trimester with all of my pregnancies. Not once did I have to change my dosage of Synthroid. I had 3 healthy babies. I hope that gives you hope over the weekend.
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R.D. answers from Chicago on March 18, 2010
i think they mean when you go undiagnosed or do not stay on your synthroid. i am hypothyroid and was monitored very closely with two pregnancies. they didn't change my dose until the my levels dropped....for me personally it was at 9 weeks for one pregnancy and 15 weeks for the other. and i have two healthy babies now. just remember to take your prenatal vitamin at least two hours apart from your synthroid. :) congrats and good luck!!!
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A.C. answers from Sacramento on March 19, 2010
Hi! I have Hashimoto's as well. I have 2 beautiful, healthy children. My second pregnancy was unplanned. I did have a few issues in the beg. w/ some bleeding--but everything turned out fine. One thing I did with both kids was to take progesterone supplements for the first 12 weeks. When you talk to your doctor, you can ask about this.This helped to put my mind at ease--even though their effectivness is not proven, they are not harmful.
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A.S. answers from Sacramento on March 19, 2010
I am hypo too and yes pregnancy can cause your numbers to fluxtuate but if you are going to your every 4 week appointments you should be fine. I've been told there is a higher chance of miscarriage for those of us who have this issue but there's that chance for anyone. More than likely you'll need to go on a higher dose at some point in your pregnancy but don't stress yourself out, it will do more harm than good. When you call to make your initial appointment just tell them your concern, if my memory serves, they didn't feel it was necessary to check my levels until 8 weeks. Congratulations and take try not to worry yourself too much.
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B.C. answers from Norfolk on March 18, 2010
I was on Synthroid for several years before I had my son. The only thing they did was to increase my medication a little just before we got pregnant (we did IVF). My son's perfectly healthy.
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C.C. answers from Panama City on March 18, 2010
I have hypothyroidism and delivered a happy healthy baby in June of 09. When I got pregnant I had not been taking my meds and had some of the same fears. I did talk to my OB and got back on them right away. It is important so you should take care of it as soon as you can. I never heard anything about brain problems, but what I researched was that it can mess with their hearing. The first trimester is very important for you to take your meds. b/c the baby cant make their own thyroid hormone until the second semester. I would tell you not freak your self out. That's not good for you or the baby, but definitely take care of it as soon possible. I don't believe a few days is going to make or break you. I also was on the same dose of meds. until the very last month. Hope this helps:)
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C.A. answers from San Francisco on March 18, 2010
I think you are fine since you know your levels are in a good place. IMy daughter is perfectly normal and I have Hashimoto's as well. My OBGYN (I had never seen her before I got pregnant with my daughter) didn't monitor me too closely or anything during the pregnancy and only did a couple blood tests until the numbers got where she wanted them to and left it alone. Looking back now and planning our second child I plan to make sure I get my thyroid checked more often with our next one. I have read a few articles (maybe 2) about how an incorrectly treated thyroid condition could cause a low or no milk supply. I produced no milk at all and want to prevent that with our next one. I may be grasping at straws on that one, but I think it's still something to consider.
If you need to wait a little while to get the new insurance could you call your GP or whoever does you blood-work and just say you've been feeling sluggish and tired and would like to get it checked again? Not even mention the pregnancy at that point?
I almost forgot to add...congratulations!!!!!
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