8 Weeks Pregnant, Blood Work Shows Low TSH Normal or Not?

Updated on August 11, 2009
H.N. asks from Lynnwood, WA
3 answers

History: This is my second pregnancy, 32YOAF history of postpartum thyroiditis (HYPERthyroid) when 1st baby was 7months old, on PTU treatment for 3months and it when away as quickly as it came - no more hyperthyroid for 6months now. Baby is healthy and happy, so we planned this 2nd pregnancy.

Because I had a history of Hyperthyroid, my OBGYN was cautious of it during my 2nd pregnancy. Blood work done 1month prior to pregnancy, at 4weeks, and 6weeks pregnant - all had normal TSH, T3, Tadjusted. At 8weeks, only 2wks later, my blood work came back low TSH=.11 (.30 to 5.00 are normal). T3, T4, and free T3,T4 Tadjusted were all normal). I've been really tired nausious and vomiting since 5wks of pregnancy (my first baby was even worse but no thyroid test was done than that I recall and no treatment done). Anyway, I know I will need to see my endocrinologist to talk about options, but would really appreciate feedback on what other moms went through with being diagnosed with hyperthyroid/hypothyroid during pregnancy. Did you take meds right away, is it throughout pregnancy and after. Did the TSH normalize out even if you didn't take meds? I'd like to be better equipped to make decisions when I go to see the endocrinologist because sometimes they are not sure on every case what to advise. Much thanks to all!

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K.O.

answers from Portland on

My thyroid issues are not at all pregnancy related, but I do have experience with being hypothyroid while pregnant. Depending on how low you actually are, the doctor may suggest a small dose of medicine to bring it back into normal range, and I would say that's not a bad thing. I took levothroid throughout both of my pregnancies, I had to because I don't have a thryoid, and both my boys are fine. I encourage you to do a bit of research on the effects of abnormal thyroid levels on the fetus during pregnancy. Not trying to scare you, but they are not negligible.

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S.P.

answers from Seattle on

Hi H.:

Wne I became pregnant with my daughter I was diagnosed with HYPOthyroidism. My bloodwork confirmed it when I didn't even know yet that I was pregnant (right around conception) and the doc wanted to send me having some tests with low-radioactive contrast fluid done. Luckily I refused because one of my colleagues had Hypothyroidism, too and never had to do a test like that. When my pragnancy was confirmed I had another bloodtest done and my hormone levels were very low. I was put on Syntheroid right away and didn't have any problems after that. I stopped taking Syntheroid when I moved and didn't have a doctor but recently went to a routine check-up and I'm back on it now, feeling a lot better (less tired, more focused, etc.) The Syntheroid does not harm the baby at all, because it's a synthetic hormone that makes your body believe that it produces enough hormones itself..

All the best for your pregnancy!

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J.S.

answers from Seattle on

H.,

I don't know how much my experience will help, but here it is:

My mother was dg'd with Hypothyroidism when she was in her early 20's. There is a 25% chance of passing it to your kids, and she had 4 kids, so we've all been sure to keep ours checked out. Well, guess who got it?!

At around 16 weeks when I was pg with my first daughter I was not gaining weight, was sometimes shaky and lightheaded, nauseous when hungry or too full, and had some heart palpitations. We ran blood tests and found out I had gestational hypERthyroidism. We didn't treat it, other than just avoiding caffeine and eating as much nutritious food as I wanted to, any time I felt at all hungry. That cured the "morning" sickness and shakes/light headedness. When I still wasn't gaining enough weight near the end my midwife "prescribed" a milkshake a day! I felt pretty good through my pregnancy, and the problem went away after delivery. I kept getting it checked when I went to the doc.

I was fine until a few months after delivering daughter #3 (6 years later). I thought I might have postpartum depression. Turns out I had a completely non-functioning thyroid. (After my 6 week postpartum blood work came up clean.) I got on Armour Thyroid (dessicated pig thyroid, not synthroid)and had a huge turn around in my life. I'm basically a new woman now that I'm on Thyroid and Iron (which was ridiculously low - I had zero iron stores). I'm a huge "alternative" medicine supporter, meaning feed the body good nutrition, then use the least invasive/hurtful process possible to cure, but I'm very thankful for the modern medicine we do have when a part of the body malfunctions completely. Hopefully your health will be restored after the little one is not on your life-support anymore!

Blessings on your pregnancy!
js

P.S. From my research, it is more dangerous to have untreated hypothyroid during pregnancy than to treat the it, so don't fret about meds during pregnancy if you need them. You have to have proper organ function (controlled by the thyroid) in order to have a healthy pregnancy and healthy baby.

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