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Can a low TSH level effect ovulation?

MelbabyfeverMelbabyfever
in Trouble TTC
Hi There, 

At the end of July my RE started me on synthroid since my TSH was higher than he likes to see for TTC. I believe in July I tested at 4.7 and positive for thryoid antibodies as well. When I went back 3 weeks later I tested at .77. 

Since then, in Aug I am pretty sure I didn't O as I never had a +OPK and I also developed a huge cyst. This cycle I am on CD18 with no sign of O and also have very flat temps like I had last month which is strange for me. Can anyone provide any feedback? Doc didn't seem concerned with the .77 TSH, but could it be too low and if so could a low TSH mess with O? I have been tracking for a long time now and always get a +OPK.
Age 32, Diagnosed with Premature ovarian aging due to autoimmunity. AMH 1.17, E2 78, FSH 7.9 HSG-reveals tubal disease and apparent endometriosis DH's SA-normal Positive for thyroid antibodies, Crohn's disease 8/27/11-huge 58 mm cyst 1st IVF cycle canceled :( 9/20/11-2nd attempt at IVF cycle 1. Microdose Lupron Protocol 9/30-AF day 2 all clear! start Lupron 10 units 2x's/day 10/13-Egg retreival 10/16 transferred 2 embies! 10/30-BFP! Beta #1 685 11/1 Beta #2 1736 BabyFruit Ticker
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Re: Can a low TSH level effect ovulation?

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    kobrie01kobrie01 member
    Hi, I don't have an answer to your question about low TSH.  But, I also have thyroid antibodies with TSH of 1.8.  When I asked if I should be medicated for the antibodies, the Dr. said no b/c they only put people on thyroid meds if the TSH is out of the "optimal" range of between 1-2.  It sounds like you are a little lower than this range so I would double check with you endocronologist or RE.  Good luck! 
    Aug 11 - Nov11: IUI #1,2,3 & 4 BFN
    Jan 12: IVF #1 - BFP!
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    skibostonskiboston
    My Re said your tsh needs to be between 1 and 2. If my tsh is high I dont O.
    TTC#1
    DX Hypothyroid,Prolactinoma, Annovulatory Cycles, Celiac, Lichen,IBS, Severe Allergies ETC>>
    M/C 1/2011
    May 2011 Clomid 50mg +Ovidrel-BFN
    June 2011 HSG, DH SA Both Normal
    Sept 2011 C/P
    Sep 2011 IUI w/Frozen Sperm, progesterone therapy
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    Kathy4678Kathy4678 member

    Coming from someone who has serious thyroid issues- do yourself a favor and go see a regular endocrinologist. They can coordinate with your RE, but you really should see a regular endo. GL to you.

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    zookbridezookbride member
    imageKathy4678:

    Coming from someone who has serious thyroid issues- do yourself a favor and go see a regular endocrinologist. They can coordinate with your RE, but you really should see a regular endo. GL to you.

     

    This! And to answer your question, thyroid issues CAN interfere with ovulation. Both Kathy and I have major thyroid issues and let me tell you, if you feel something is wrong and your Dr doesn't seem concerned (and you are having symptoms of an out of whack thyroid), go see a specialist!!! Now! don't walk, run!

    Not only can thyroid affect your fertility, but in Kathy's case, it ended up being cancer. In my case, my TSH has been really high for over a year and we keep changing my dose and it either bottoms it out or does nothing. Very frustrating! Especially when I feel like once we get this under control, I WILL get pg. 

    New to 3T? Check out this website first:
    TroubleTTC

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    Every new beginning comes from some other beginning's end --Semisonic

    **TTC since 04/09, C/P 02/02/10; 4 weeks, 3 days**
    **Dx: Anovulation, Hypothryroidism, Mild Endo, Pituitary Adenoma (prolactin issues), PAI-1, MFI **

    **7/10: Clomid + TI= BFN**
    **3/2/11: 1st RE appointment**
    **DH= Morph= 2%, Motility= 30%**
    **HSG= All clear!!**
    **3/11: Femara + Pregnyl + TI= BFN**
    **5/17/11: Laparoscopy / hysteroscopy = mild endo**
    **7/11: Novarel + IUI #1= BFN (7mil, 75% motility, 2% morph)**
    **8/11: Femara + Novarel + IUI #2= BFN (11mil, 35% motility, 1% morph)**
    **11/11: Femara + Novarel + IUI #3= BFN (9mil, 2% morph)**
    **Jan 2012: Follistim (75ius) + IUI #4= CANCELLED due to cyst -put on bcp**
    **Feb 2012: Follistim (75ius) + Novarel + IUI #4.2= BFFN (2.5mil, 13% motility, 1% morph)**
    **Mar 2012: Follistim (100ius) + IUI #5= CANCELLED due to 35mm & 14mm cysts**
    **On med break indefinitely...IF Sucks!**

    **Jan 2013: Follistim (100ius) + IUI #5.2= CANCELLED due to high prolactin level, MRI scheduled, pituitary adenoma found, put on Dostinex**
    **Mar 2013: Follistim (100ius) + IUI #5.3= CANCELLED due to uterine polyp, surgery scheduled for polypectomy and D&C**
    **03/22/13: Hysteroscopy, polypectomy and D&C**
    **May 2013: Finally got to start a cycle!!! Follistim (100ius) + IUI #5.4 = BFFN (6mil, 74% motility, 2% morph)** 

    **Jun 2013: Decide to start IVF**
    IVF w/ICSI #1 (Long Lupron Protocol)
    06/26/13: Start BCPs
    07/02/13: HSG #2= all clear
    07/15/13: Start Lupron 10 ius
    07/25/13: Suppression check
    07/28/13: Start stims (225IUs Follistim + 75IUs Menopur) drop to 5 IUs Lupron
    08/01/13: Monitoring: 12 follicles all about 10mm, E2- 313
    08/04/13: Monitoring: 18 follicles (15mm, 13mm, a few 11mm, rest 10mm or below) E2- 1,505
    Start Augmentin- antibiotic prep
    08/06/13: Monitoring: 13 follicles (18mm, 17mm, rest b/w 15mm-16mm!) Ready to trigger!! E2- 2,248
    08/08/13: ER-- 14R, 13M, 10F 
    08/11/13: One fertilized late, we now have 11 embryos!
    08/13/13: 5dt-- 2 blasts (Sheldon and Penny) 3AA and 3BB, none to freeze
    8/23/13: BFFN... Sheldon and Penny didn't stick**

    **8/29/13: Follow up... bad fragmentation issues. Changing protocol to Antagonist for round #2 coming soon! Also started on 81mg Aspirin after getting blood panel done and found out I have PAI-1**

    **Oct 2013: After large cysts, finally starting IVF #2**
    IVF w/ICSI #2 (Antagonist Protocol)
    BCPs started back in Sept due to cysts
    10/27/13: Start stims (225 IUs Gonal-F + 75 IUs Menopur)
    11/03/13 - 11/05/13: Add Ganirelix to the mix
    11/06/13: 3 follicles at 18mm-- Ready to trigger!
    11/08/13: ER-- 17R, 13M, 8F
    11/13/13: 5dt-- 2 blasts (Luke and Leia) 5AB and 4AB, 1 frostie
    11/20/13- 11/23/13: light positives on FRERs and Wondofos
    11/22/13: BFN per RE office (under HCG of 10)
    11/27/13: CP ::sigh::

    *12/03/13: Follow up...great response and quality this time, was given 50% chance of it working, just didn't stick. Great plan for 2014! 

    **Jan 2014: Last IVF of our SRP**
    IVF w/ICSI, freeze all, then FET
    12/27/13: Start BCPs
    01/19/14: Stims (375 IUs Gonal-F + 75 IUs Menopur)

    Congratulations Cutebride!! --TWINS!! Congratulations, Luvie, on your sweet boy! Congrats, Jess! So happy for you ladies! <3<3  
    ~~Also best of luck to Kati, illinigal, and youngin!~~

    *S/PAIFW*

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