1st Trimester

Hypo/Hyper Thyroid in pregnancy cross posted!

Cross posted on 2nd and 3rd 

So last night I got a voicemail from my doctor that there's a problem with my thyroid and she'll be calling me today around 1 to discuss the issue and to start me on hormone therapy.

Obviously I freaked out, called my mother, cried on my bed, told my husband "YOU JUST DON'T UNDERSTAND WHAT IT'S LIKE!!", and now I'm just sick to my stomach and reading everything I possibly can about thyroid issues.

If anyone has personal experience with this, I would really love to hear about it. Good, bad, sad, I don't care, just please help me understand how all the medical information I've read translates into real life situations.  

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Re: Hypo/Hyper Thyroid in pregnancy cross posted!

  • First off, take a deep breath! It's ok! If your dr is starting you on hormones you have a hypoactive thyroid which just means your thyroid isn't producing as much hormone as it should. 

    The medication will return your numbers to normal and your thyroid should be monitored every 4-6 weeks while you are pregnant, especially until it is stable. The medicine, synthroid, is perfectly safe for pregnancy and is a small pill you take once a day. As your pregnancy progresses your need for the medicine will probably increase which is why it needs to be monitored. It's also really important you take the medicine every single day!

    I have a hypoactive thyroid as well (it was caused by my first pregnancy). My endocrinologist monitors it and as long as its well controlled your pregnancy shouldn't be any different!

    I hope that helps! Good luck!  



    DS1: 4/15/2011
    Dx: ASD, SPD and receptive and expressive speech delay at 21 months
    BFP #2: CP 5/2012
    DS2: 4/24/2013
    BFP #4: Miscarriage at 5 weeks 7/2014
    BFP #5: 8/8/2014 Due 4/20/2015 
    Its a healthy girl!!!!! 
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  • Hi I've always been a lurker here but saw this and had to respond I was told at just about five weeks that I was hypo they started me on a low dose of thyroxine immediately I was scared and concerned as you are but everything I have read says that it is the untreated cases in pregnancy that has negative outcomes I had an ultrasound last week at seven weeks with a healthy heartbeat I was also on baby center and there is a thyroid board over there with ladies who are experiencing what were going through or have been through it and are very informative as well

     

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  • If you are not experiencing any symptoms of hypothyroidism or hyperthyroidism then it sounds like your doctor caught this early....which is a very good thing. 

    Unfortunately I have lots of experience with this thyroid issues. The week I found out I was pregnant with DD my doc found a lump on my neck and a couple of weeks later I was facing a cancer diagnosis. My treatment team decided it would be in my best interest as well as DDs to delay surgery until after the baby was born. DD arrived healthy, my recovery was easy, and I was able to nurse. I ended up having half my thyroid removed and was placed on synthroid because I became hypothyroid. 

    I will admit that it can be rough being hypothyroid....especially when you are pregnant....you don't know which symptom is which....fatigue, nausea, constipation,weight gain.  It can take a while to reach therapeutic levels but once you do you will feel a million times better. There is a lot of information out there about thyroid disorders and pregnancy. One of the more common things that you will read is that thyroid disorders can lead to infertility. I was hypothyroid when I found out I was pregnant with this LO so this in no way means that you can not have anymore children. There is an increased risk of miscarriage but doctor identified like with most pregnancies once a heartbeat is detected the risks are low. I just so happen to see an OB who specializes in high risk pregnancies so that has helped calm my nerves. I have extra labs and appointments but other than that it is like all of my other pregnancies.

    Best of luck to you. And if you can, have someone with you when your doctor calls....it helps to sort out all the information. 

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  • Hi there! Take a deep breath, you are perfectly fine! I have hypo- and have been on Levothyroxine (or soemthing like that) since a couple weeks before I got pregnant. We had fertility issues, and was able to catch it early, and now know how to treat it. Your doctor will monitor your thryoid the entire pregnancy, and swtich your dosage accordingly. It's very common during pregnancy, nothing to worry about, will prob just have to monitor it and start on a light medication.
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  • I had my thyroid removed in 1999 and have been on levothyroxine (sp?) since then. My doc has told me that there are no issues with the medication during pregnancy although he will check my levels more often. (Normally I get it checked once per year, he will likely check every month now.)
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  • Just wanted to add that a lot of women who become hypothyroid during pregnancy do not remain hypothyroid forever after giving birth. I've been hypo since I was 18 and though I'd rather not have it, it's waaay better than a lot of other autoimmune disorders out there.
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  • Thank you all so much for sharing and putting my mind at ease. It just all seemed so overwhelming at first, it's very encouraging to hear so many folks have this with no complications to their pregnancies. 

    Thank you!!! 

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  • I was born without a thyroid and have been on synthetic hormones all my life (synthroid). I haven't had any issues as of yet, I'm just being monitored closely (blood tests and appts every month). At first its a little tricky because they need to find the right dose for you, but I wouldn't worry about it too much.
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