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Thyroid issues- endocrinologist?

PeonyPumpsPeonyPumps member
in 3rd Trimester

My tsh levels were off during the first tri bloodwork last pregnancy with DS, but they went back down by my 28 week appt, so they figured it was just due to the pregnancy.  

This pregnancy, my tsh levels were off in the first tri and now after my 28 week bloodwork now continue to look borderline hyperthyroid.  I have a significant family history of thyroid concerns, with multiple cancers, cold nodules, hyper and hypo thyroid instances on my mother's side of the family, and because of this, I've now been referred to see an endocrinologist.

Anyone being seen by one during pregnancy?  What would they be doing at this point for me?  

The Ob wants me to be seen during the rest of this pregnancy and after to watch how I'm doing.  I'm just wanting a head's up as to what to expect at my appointment. 

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Re: Thyroid issues- endocrinologist?

  • MrsT1108MrsT1108 member

    I had thyroid issues before pregnancy, since age 19.  I had started off hyper, but had nuclear iodine treatment then went hypo.

    All I had to do was tell my endo when I became pregnant and he said I would need to have my levels checked every 3 months because there was a chance they would be off due to pregnancy, but that most likely they would go back to "normal" after.  Sure enough month 3 (first check), but levels were off, not badly, just off.  He just adjusted my medication (I was on 150 mcg, now up to 175 mcg).  At my last check my levels were fine.

    Depending on what your levels are, the endo may need to put you on a medication to help your levels and just keep an eye on them.  The medication is perfectly safe to take while pregnant and also while BFing.  If your levels are off enough that DOES require medication, it CAN affect the not only you, but the baby as well, so yes, if you nee to see an endo, please see one and follow whatever orders he/she gives you.

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  • jac409jac409 member
    I usually post on the December 12 board, but was lurking here today. I have Graves Disease (which causes hyperthyroid) and had a complete thyroidectomy about 5 years ago. I see an endocrinologist now who checks my thyroid labwork regularly and makes any necessary adjustments to my medication. Since I do not have a thyroid any longer, I have to take synthroid every day for the rest of my life. Anyway, since I got pregnant, I have been getting labwork about every 4 to 6 weeks. My thyroid hormone levels were a little low earlier in pregnancy, so we just adjusted my meds and now I'm good to go. Hyper or hypothyroid can cause some problems for both you and the baby, so it is good to stay on top of it and make sure that you are following your doctor's instructions and taking any meds prescribed. My endo and OB have both told me that out of whack thyroid levels likely account for many post-partum depression issues that people have, so make sure to keep following up after the baby is born. This isn't a big deal if you stay on top of it and do what your doctor tells you to do. Good luck!
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  • JJ_13JJ_13 member
    I have mild hypothyroidism and carry anti-thyroid antibodies in my blood. This was discovered shortly before I got pregnant. I am on synthetic thyroid and my endo checks my blood every six weeks during pregnancy. It's good to see one - the endocrine system is complicated and endocrinologists know a lot more about it than OBs so it was good of your doc to refer you!
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  • emolee84emolee84 member

    the endo will just follow your levels and adjust meds if needed.

    I have graves' and had a total thyroidectemy back in 2008 and have been on synthroid ever since.  With DS1 my meds were adjusted up to 250MCG and never went back down after I had him.  With this baby they were adjusted up to 350 and I just got a call from my doc to back it back down to 250.

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  • AprilAngieAprilAngie member
    They can prescribe medication to help regulate your thyroid.  You can PM message me.  I have had issues with my thyroid since 2003. It is also in my family; my mom.  I had to have my thyroid burnt out with radioactive iodine afte rthe birth of my 2nd child back in 2006 and have had 2 pregnancies since.
    lolololo
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  • AprilAngieAprilAngie member
    imagejac409:
    I have Graves Disease (which causes hyperthyroid) . I see an endocrinologist now who checks my thyroid labwork regularly and makes any necessary adjustments to my medication. Since I do not have a thyroid any longer, I have to take synthroid every day for the rest of my life. !
        this is me too
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  • Thea11Thea11 member
    I am hypothyroid and my endocrinologist just monitors my blood work every two months.  I am also taking synthroid every day.
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  • PeonyPumpsPeonyPumps member
    Thank you all for the information!
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  • this decaf lifethis decaf life member

    I have hypothyroidism [diagnosed like 2 days before I got pregnant] my regular doctor was managing it until I moved to Virginia. Once I got here my OB suggested an endocrinologist so I went [it was the first time I actually saw an endocrinologist] and I've set up an appointment to go back to a regular doctor.

    The endocrinologist did nothing that a regular doctor couldn't do. They drew blood and made a recommendation to tweak my dosage a bit. The endo wasn't able to give me any extra information about why or when I started having a thyroid problem so I see no incentive to keep going back to a specialist. The specialist costs more money and at least in my experience did exactly what my regular doctor told me. 

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  • honcho22honcho22

    I have had thyroid issues for the past 5 yrs. I had the radioactive iodine treatment done to kill most of my thyroid and now I'm hypo. I had to wait 6 months to a year before we started trying. I am almost 32 weeks along and all my endocrionologist does it do blood work to check my levels. I take medication to treat my thyroid and will see my endocrionologist right before I give birth and 6 weeks after. I have had to increase my meds only once during my pregnancy because my levels were up.

     Everything should be fine nothing to get really worried about GL!I

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  • PeonyPumpsPeonyPumps member

    Anyone see an endocrinologist that is just followed by them and doesn't actually have to take synthroid?  My mom (and several aunts and cousins) are on synthetic thyroid medications daily, but from what I understood from my Ob, my levels are still borderline.

     I'm guessing then, they will probably just repeat the bloodwork and continue to follow me unless it gets worse? 

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