Raised TSH level in Pregnancy

Patient

Q: I am 32 years old woman and having 18th weeks of second pregnancy. Just now came to know about my TSH level as it is 5 now. Started my medicine already. Please solve this issue and help me regarding this..

Symptoms:  Tiredness and restlessness
Doctor

A:   Hi,
Welcome to Ask The Doctor.

A TSH above 3.0 in the presence of normal T3 and T4 values is suugestive of subclinical hypothyroidism. Thyroid hormones, specifically thyroxine, are essential for normal fetal brain development.
In women with overt hypothyroidism (elevated TSH and low free T4 levels), T4 supplementation during pregnancy also has been associated with improved pregnancy outcomes. However, data indicating fetal benefit from thyroxine supplementation in pregnant women with subclinical hypothyroidism currently are not available.
Generally in cases of subclinical hypothyroididsm, the decision to supplement thyroxine is based on the symptoms of the pregnant woman and her general wellbeing. Since you are experiencing tiredness and restlessness which are symptoms of hypothyroidism, your obstetrician or midwife may have decided on starting thyroxine supplementation. Monitor your TSH regularly to make sure it falls within the normal reference intervals.

I hope this helps.

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...

 
DOCTOR ADVISORY BOARD
218

Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician
173

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician
138

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist
98

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon
CNN
BBC
MSNBC
CBS
abcNews
FoxNews