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Endocrinologist or RE?

ReneeRNReneeRN member
in Trying to Get Pregnant

I had my IUD taken out in Aug to begin TTCing and that is when my OBGYN ordered baseline labwork, which confirmed Hypothyroidism..my OBGYN suggested I follow up with my PCP for management of this. I have been taking Synthroid prescribed by my PCP. Two wks after starting Synthroid my PCP checked my TSH and it was in the 3ish level and didnt want to recheck it for 6mon-1yr....I am considering actually seeing a MD that specializes in this disorder, but wondering if I should just be seeing a general Endocrinologist or a RE.

Any suggestions are welcome, thanks for taking the time to read and respond.

photo b5880bbf-17e0-491c-8d1e-181ee8707670_zps6b0bf0b5.jpg Lilypie First Birthday tickers
My BFP Chart
Aug 19, 2010 ParaGuard IUD Removed
Sept 7, 2010 Dx w/Hypothyroidism (TSH 6.7) Began taking Levothyroxine
Feb 15, 2010 BFP with #1
Nov 1, 2011 DD1 Born
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Re: Endocrinologist or RE?

  • XXXXX222XXXXX222 member
    I think a general endocrinologist would be good. Have a good discussion on what your target TSH level will be and make sure it gets checked often!
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  • HappyAardvarkHappyAardvark member
    An endocrinologist is your best bet to get your thyroid issues addressed.  If you get your thyroid under control but are still having issues conceiving after 6mos to a year (depending on your age), then you should ask for a referral to an RE.
    July 20th, 2012: Never forget the day the fb douchebags tried so hard, but ultimately failed. Viva la October 2011! Yeah, I called you douchebags.

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  • baloneydiscbaloneydisc member
    Two weeks is not enough time to see if the Synthroid is working.  Your TSH should be tested about 6-wks after starting the Synthroid to see if the dosage needs to be adjusted.  While TTC most doctors want to see your TSH between 1 & 2, but some still use the "anything under 5 is good" scale.  If I were you I would make an appointment with a regular Endocrinologist.
    Lilypie Third Birthday tickers
    Married 1/2/99.
    TTC since 4/09.
    Diagnosed PCOS. Diagnosed Hypothryoid 11/09.
    SHG & SA normal. PCOS Research study started 5/10.
    Clomid/Femara cycle #1 - 6/10 = BFN
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    11/12 - BFP #2 - 11/22 - m/c
    5/1/11 - BFP #3 - Pre-eclampsia, IUGR & bed rest from 32w. DD born via induction 1/4/12.
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  • ukcats27ukcats27 member
    I was diagnosed with (very mild) Hypothyroidism about 4 years ago and I went to see an Endocrinoligist.  They put me on medicine and a strict diet.  Then I was tested again 2 years later and I did not have it anymore.  Good luck!
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  • HappyAardvarkHappyAardvark member
    Also, for TTC purposes, your TSH should be between .5 and 2, even though levels under 4 are considered "normal."  I would push back on my doctor to adjust my dosage of synthroid and monitor with more frequent bloodwork until I was under 2.
    July 20th, 2012: Never forget the day the fb douchebags tried so hard, but ultimately failed. Viva la October 2011! Yeah, I called you douchebags.

    image

    BFP 1/18/11, EDD 10/1/11. Born at 37w5d on 9/15/11. AlternaTickers - Cool, free Web tickers

    ***BFP Chart***

    "There will come a time when you believe everything is finished. That will be the beginning.

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  • ReneeRNReneeRN member
    Thank you everyone! I am making an appt as we speak to see a specialist to manage my hypothyroidism instead of my PCP!
    photo b5880bbf-17e0-491c-8d1e-181ee8707670_zps6b0bf0b5.jpg Lilypie First Birthday tickers
    My BFP Chart
    Aug 19, 2010 ParaGuard IUD Removed
    Sept 7, 2010 Dx w/Hypothyroidism (TSH 6.7) Began taking Levothyroxine
    Feb 15, 2010 BFP with #1
    Nov 1, 2011 DD1 Born
    Report Reply
  • romiguromigu member
    ok.  i know i'm asking for flames but i have to respond to this.  i'm an internal medicine doc.  i agree (based on the initial TSH posted in your siggy pic) that you were mildly hypothyroid.   Your TSH is now within acceptable range on replacement therapy.  I agree that the TSH does take about 6 weeks to reflect treatment.  Why do you feel that you are being managed inappropriately?  Hypothyroidism is bread and butter internal medicine and really doesn't need endocrinology involvement unless there are complicating factors such as hypothyroidism secondary to thryoidectomy or panhypopituitarism.   I can't speak with regards to management during trying to conceive so I agree that may require input from an RE. 
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