Need advice from endocrinologist or fertility specialist


Q: After having my first child in 2008, I was diagnosed with hyperthyroidism (grave's). I was treated with methimazole 5mg tid for a few months, but was noncompliant and came off the medication. I was symptomatic for about 1 year (no menstruation, hot flashes, tremors). Then, after 4 years of no therapy and being asymptomatic, I became pregnant but miscarried. My thyroid levels were checked and I was found to have subclinical hypothyroidism with a TSH of 5.2 and positive for antibodies. I remain asymptomatic. I was started on synthroid 25mcg daily and after 3-4 weeks of treatment I began to feel symptoms of hyperthyroidism (jitteriness, palpitations, hot flashes) in which I have not felt for almost 4 years since the prior diagnosis of hyperthyroidism back in 2009. My physician is recommending to continue the synthroid to acheive desired levels for conception to even be possible. However, the symptoms I am experiencing are making me wonder if I am becoming hyperthyroid again. I recently had a TSH level done and my physician wants to increase my Synthroid to 50mcg daily. Should I continue even though I am feeling symptoms of hyperthyroidism? Is it expected to feel these symptoms while trying to achieve desired levels of TSH 1-2?

Symptoms:  Hot flashes, increased appetite, jitteriness

A:   This question is currently in queue and will be answered shortly by one of our doctors. In the meantime you may browse our library of answered questions by clicking here.

Related Q&A

Q: I rubbed my penis over my girlfriend's vagina. I did not ejaculate. It was covered in pre-ejaculate though and I had ...

Q: Hi I'm a 17 year old female and two weeks ago I started taking the contraceptive pill. Unfortunately I wasn't infor...

Q: If I my girlfriend and I were grinding naked during ovulation or the day before and I had Precum on my finger and fin...

Q: Had sex on day 14/15 of my cycle which is usually 27/28 days. We used a condom but it broke . He wasn't near ejacula...

Q: I had a 3 day bleeding with cramps, which was different from my usual period, 27 days after having had unprotected se...


Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon