TTMA TSH in Pregnancy

[bocaburger]

A nurse just called.  They ran my TSH yesterday and it came back at 4.17.  That's really high for me - the highest it's been since we started treating it a year ago.  My last TSH (maybe 6 weeks ago) was 2.75.  At that point I had been taking 50mcg/day so she bumped me up to 50 and 75 on alternating days.  I don't understand how it could have gone up so much in the past month after increasing my dosage.  Could it have gone up that high just since implantation?  I am only 4w1d it seems to soon to be responding like that.

I am panicking now because I know the evidence shows that TSH >2.5 increases your chance of miscarriage... and I have TPO antibodies and PCOS so I had a higher chance to begin with.  They are bumping my dose up to 100mcg/day but I'm so scared it's too little too late and I will lose this pregnancy.

[Rama]

*hugs tight* I'm so sorry this is worrying you right now, Boca. No experience, but I hope the worry ends up being for naught.

[lissjm]

My medical endocrinologist told me to call her ASAP after a BFP so they could test my levels and adjust. She also told me to start taking a double dose one day a week after BFP until I got in the office. This makes me think it is
expected levels will increase with pregnancy. I think the baby doesn't have it's own thyroid until 24 weeks. I went every 4-6 weeks during my first pregnancy and they were always adjusting my dose. I would call your doctors if you are concerned.

[bocaburger]

Dec 18, 2015 12:52:06 GMT -5 lissjm said:

My medical endocrinologist told me to call her ASAP after a BFP so they could test my levels and adjust. She also told me to start taking a double dose one day a week after BFP until I got in the office. This makes me think it is
expected levels will increase with pregnancy. I think the baby doesn't have it's own thyroid until 24 weeks. I went every 4-6 weeks during my first pregnancy and they were always adjusting my dose. I would call your doctors if you are concerned.

I expected it to increase, just not this much or this fast.  My lifetime highest TSH is 4.3 and was a major cause of my infertility, so the fact that my levels are almost back to that terrifies me.  My RE is not in the office today so I won't get to talk to her until next week.  I made an appointment with an endo but it's not until January.  The RE upped my dose but I know that TSH is usually slow to change so I'm so scared.

[musicgirl]

Big hugs. No advice from me as I have no experience, but I hope they get you sorted out quickly.

[lissjm]

bocaburger The waiting is tough! I hope they can get it under control and you can get some peace of mind soon. Hugs!!

[joy]

You're okay, boca. My RE would let me cycle with a TSH of 5 or less as long as I was actively treating. You are actively treating and haven't passed the threshold.

Think about how many women have NO IDEA they have a thyroid problem until their first OB appointment - at 8 or 10 weeks - and get their thyroid tested then. They don't start treating until then. ::hugs::

I had my TSH tested the same day as my first beta. I had gone up to 2 from 0.9 at my last draw. My endocrinologist has me taking a double dose of synthroid twice a week and a normal dose 5 days a week. I get my levels tested again in 4 weeks.

[lennonkdc]

no advice to offer, just this big ((HUG))

[NariaDreaming]

Thank you all for reminding me that I need to get my TSH drawn. I haven't since July... oops!

The godo news is that we saw a heartbeat, so even if my levels are up, it's not affecting the tiny tyrant.

[joy]

Dec 18, 2015 13:33:02 GMT -5 NariaDreaming said:

Thank you all for reminding me that I need to get my TSH drawn. I haven't since July... oops!

The godo news is that we saw a heartbeat, so even if my levels are up, it's not affecting the tiny tyrant.

YAY!

[bocaburger]

Thanks everyone. My RE called me on her day off (I love her) and calmed me down a bit. She said even though my TSH jumped my T3 and T4 are probably still ok. I go back in tomorrow for a recheck to confirm (and I convinced her to add beta-hCG to the order ;-) ) and will get it rechecked again in 2 weeks to make sure it's going down.

Sorry for the panic. I'm sure it wont be the last time. PAIF brain is no fun. :-(

[Rama]

Dec 18, 2015 13:53:12 GMT -5 bocaburger said:

Sorry for the panic. I'm sure it wont be the last time. PAIF brain is no fun. :-(

So, so much this. All the hugs, Boca! I'm glad she could call and put your mind somewhat at ease (and order the extra beta for you! ;D)!

[ameliabird]

No experience but I wanted to offer hugs! Sorry you're going through this. I hope bumping up your dosage helps!

[elebishi]

Following what Joy said - I was diagnosed with hypothyroidism during my first pregnancy, at week 9ish, with a level of 8 something. DD1 was just fine With DD2, they followed it closer but it still sometimes got up in the 3's. I'm glad they're monitoring it close and adjusting your dosage. Hang in there, I understand how scary 1st tri can be!

[bocaburger]

Dec 18, 2015 15:56:53 GMT -5 elebishi said:

Following what Joy said - I was diagnosed with hypothyroidism during my first pregnancy, at week 9ish, with a level of 8 something. DD1 was just fine With DD2, they followed it closer but it still sometimes got up in the 3's. I'm glad they're monitoring it close and adjusting your dosage. Hang in there, I understand how scary 1st tri can be!

That's actually so reassuring to hear. Thank you.