Trying to Get Pregnant

intro, and ? about thyroid

Hi ladies, I'm Caroline :) DH and I are 28 and on cycle 8 TTC our first. I have learned so much from lurking here, so thanks for your wealth of knowledge and experience! 

I had my gyn annual back in Jan. and talked about TTC at that time. But even though we haven't been TTC for a year yet, I was able to go in for a more comprehensive preconception appt and some lab work this past Monday. The doc was knowledgeable about and supportive of charing (yay!) and could tell from my charts that I'm clearly O'ing and that FSH and LH levels were probably fine.

However, she called yesterday with lab results and said that my thyroid levels are borderline. My TSH was 3.7, which in most labs is considered within the normal range, but they like women TTC to be below 2.5, or as low as possible. It looks like some newer guidelines say that anything above a 3 indicates hypothyroidism. The doc put me on Synthroid to get my #s down, and I'll go back in to be re-checked in 6 wks.

My pre-O temps do tend to be in the high 96's, which according to TCOYF can be a sign of hypothyroid. But I was still surprised, since I eat well, exercise, and am not overweight. Perhaps it's a misconception that most people with hypothyroid are overweight? 

I guess I'm just wondering if anyone has experience with hypothyroid, and if meds helped regulate it? I started the pills yesterday (CD 10), so hopefully they'll kick in in time to help this cycle! I don't know how long it takes to start making a difference, though. DH went in for a SA yesterday, but I'm hoping it's just my thyroid keeping me from getting KU, and that it will be under control soon. 

Anyway, best of luck this cycle everyone! 

 

BabyFetus Ticker

Re: intro, and ? about thyroid

  • It generally takes about 2 weeks to tell a visit.  You will probably notice symptoms going away that you didn't realize you even had.   They should be checking you again in 6 weeks to make sure your TSH has gone down. 

    I reccomend doing as much research as you can.  That's what I did when I was diagnosed.  In my research, I learned that the best levels for fertility are around 1.0 and a little other.  I know that I personally feel best when my levels are around .9

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  • Hi Caroline, welcome to the board.  Unfortunately, I don't know much about hypothyroidism and TTC, but wanted to wish you and your husband good luck regardless.  You might want to call your OB and ask what kind of changes you should expect and when on the new pills.  I think hypothyroidism can happen to anyone, overweight, underweight, or average weight--the overweight usually refers to things like diabetes, PCOS, and cholesterol, which all also, can happen regardless of your weight, your chances of getting metabolic like disorders are more likely or prevalent in those who are overweight, but not restricted too.
    -adorUHbuL

  • Hi and welcome!  I have hypothyroid and I'm not overweight.  It's just one of those things I guess.  I normally get checked every 6 months, but since TTC, I get my levels done every 2 months.  The meds do help keep it in check.  Good luck!
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  • Hi! I'm a TTGP grad as you can see from my pregnancy ticker, but I'm also hypothyroid. It took us 8 cycles to conceive our sticky baby (had a chem. pregnancy the cycle prior), so maybe 8 will be your lucky number too :)

    I had my TSH levels checked just a few weeks before I found out I was pg, and they were below 1 - something like .7 or lower.  My endo thought that was a good place to be, and you are correct in that while a level below 3 or 4 is considered within normal "range" by some doctors, for women TTC they prefer a lot lower - anything above a 4, it can be difficult to get pg or maintain a pregnancy that would otherwise be healthy.  I am not overweight, but it is somewhat difficult for me to lose that odd 5lbs so I have to work a little harder to keep the weight off, if that makes sense.  Anyway, hopefully you will respond to the medication quickly, and don't be upset or frustrated if you need to have your dosage adjusted several times before your doctor and your body finds your right dose.  And I would encourage you to do your own research of course, but I was recommended to only go on brand synthroid, not generic synthroid - this was by my doctor and was validated by several other resources. 

    When you do get pg, you'll just need to have your bloodwork done a few times each trimester to make sure your levels are still in normal range, and have your medication adjusted. I've had mine changed once already. As long as you are seeing a doctor and are on top of the situation, there is very low risk to your condition posing a threat to the development of your baby.  They measured the baby's thyroid at my 20w anatomy scan, and I'm going in for a bonus u/s at 28w so they can measure again and make sure it's where it should be.

    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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  • imagetmsetzer83:
    Hi and welcome!  I have hypothyroid and I'm not overweight.  It's just one of those things I guess.  I normally get checked every 6 months, but since TTC, I get my levels done every 2 months.  The meds do help keep it in check.  Good luck!

     

    Same here.  I was diagnosed when I was 21 (29 now).  

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    IVF #1 September 2012, beta #1: 213; beta #2: 580. Expecting Twins! 
    EDD 6/9 lost one angel at 9w3d :( 
    Baby boy arrived 6/1/13
    FET #1 10/14, BFP -Chemical Pregnancy :(
    Everyone Welcome

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  • Hi Caroline :-)

    My DH & I are 28 also and TTC baby #4. I've been on thyroid medicine for several years now & am not overweight or anything and we've had no problems conceiving any of our first 3 children. I don't know all there is to know about how thyroid issues affect conception but just wanted to offer some encouragement. :-) Good luck!!

     Blessings,
    Emily

    "Perhaps this moment is unclear, but let it be - even if the next, and many moments after that are unclear, let them be. Trust that God will help you work them out, and that all the unclear moments will bring you to that moment of clarity when you are known by Him and know Him. These are the better and brighter moments of His blessing." - Unknown
  • Hi Caroline! I was dx with hypothyroidism about a month ago. I am on meds, and will get blood drawn mid-June to re-check and maybe re-adjust my meds. I am on generic synthroid....I haven't heard anything negative about it, like PP said, but should maybe look into it more.

    I am not overweight either - it can happen to anyone I guess!

    Good luck! 

    History: Dx homozygous MTHRF gene mutation 11/2010 | Dx Mild Hypothyroidism 5/2011 
    Cycle #1 - BFP 1/15/11 ended in cp 1/20/11 | Cycle #6 - BFP 6/24/11 - m/c at 9 weeks 8/1/11 
    Cycle #1 after m/c - BFP 10/2/11 - EDD June 14, 2012 
    Betas at 15 dpo: 331; at 17 dpo: 934 
    Baby E born at 37 weeks on May 23, 2012!
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  • mbs79mbs79 member
    I was recently diagnosed with hypo preceding a pregnancy which I quickly miscarried. I just started my first dose of Synthroid last month.  I would first recommend that you seek out an endocrinologist for this. My ob/gyn knew to refer me, but not too much about the condition. My endo is monitoring my meds closely and will continue to do so throughout any pregnancy.  He also ordered an ultrasound to rule out any risk of cancer since I had a goiter.  It was really helpful for me to research hypo too.  You don't have to be overweight to be diagnosed.  I've had thyroid issues for at least 5 yrs with no diagnosis until now. It's just recently become more difficult for me to lose weight. Hope everything works out well for you and you have a successful pregnancy really soon!
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  • Thanks so much for the warm welcome all the great info! I've started to do some research into this, but it's so helpful to hear your experiences. Now I have an idea what to expect in terms of how soon the meds might kick in, what TSH range we're shooting for, how often I might get checked, etc. 

    It's also really nice to hear some success stories! After looking into this a bit, I was getting worried about miscarriage and potential problems during pregnancy for when I do get KU. But it sounds like with good monitoring and management, I should be able to have a perfectly healthy pregnancy (some day!!) 

    It will be interesting to see if I notice any changes with the Synthroid (my doc didn't say anything bad about the generic but did specify to get the brand name...) I am sometimes really fatigued after work and have trouble moving or getting off the couch; it's kinda nice to know that it might be something other than just laziness!  I feel like my doctor is knowledgeable about this and seems on top of it, but I'll keep in mind that switching to an endocrinologist might be good if things get more complicated. 

    HappyAardvark, best wishes for your pregnancy, and I hope everyone else gets a BFP very soon! Thanks again!! 

    BabyFetus Ticker
  • I was diagnosed with hypothyroid almost 2 years ago. I have to say that the medication has been a lot better for my energy levels. Sadly, I feel like I'm still losing a lot of hair and often wonder how I will have enough energy to get through a pregnancy and caring for a LO. Many people associate hypo with being overweight because it slows down your metabolism.

    I don't anticipate any problems with my thyroid through a pregnancy, but I will have to keep an eye on anemia due to another medical condition.

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