Infertility

Recommended TSH Levels? **DD in Sig*

I recently had my TSH tested by my OB/Gyn it was 4.5 - she said that's normal, that her office's normal range is up to 5.5. I've been doing a lot of reading that RE's prefer it to be much lower, below 2 or even below 1. During IF treatment for DD my TSH was 1.8...but it's significantly higher now and wondering if I should push to be put on medication to lower it. I see the RE on thursday and I'll ask about it, but my knowledge is just from seeing some random articles about TSH and fertility.

I'm curious what your RE recommends for TSH levels?

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Re: Recommended TSH Levels? **DD in Sig*

  • Mine was 2.8 when I started seeing my reproductive immunologist.  She put me on synthroid and wants me less than 2 to cycle.  I've been on it since April and am finally down to 0.97 and have been given the green light to cycle.  The Drs reasoning is that the fertility meds will drive up my TSH so I need to bring it lower to start.  Good Luck!
    "Everything will be alright in the end. So if it's not alright, it is not yet the end."
    Me:29 DH:29  TTC since 1/11 Dx: unexplained IF/early DOR/immune issues 
    Feb'12- July'12-testing(all clear minus slight arcuate ute), 3 IUI with clomid all BFN
    8/30IVF#1 Antagonist protocol- ER 9/11-8R, 7M, 5F. 
    ET 9/14 2 embies transferred. 1 10cell Grade 4, 1 8cell Grade 4. No frosties. BFN
    IVF#2 Antagonist protocol plus baby aspirin- ER 12/5-16R, 12M, 8F!
    ET 12/10 5dt! 1 fully expanded blast & 1 early blast. No frosties. BFN
    3/13 hysteroscopy & polypectomy, Consulted w Dr. Kwak-Kim.  
    DX: High NK cells, cytokines, DHEAs& PAI1;  hypothyroid, +APA, restricted bloodflow
    7/13 IVF#3 Long lupron protocol with PIO, Crinone, Prometrium, and vivelle
    (plus synthroid, metformin, baby asa, metanx, PNV, Vit E, D, calcium, fish oil, CoQ10, IVIg infusions and lovenox per Dr. Kwak-kim)
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    Beta #1 8/2 335!!!! Beta #2 829!!!  1st u/s 8/14 showed TWINS!!!!!
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  • Mine recommends under 2.5. Mine was at 2.54 when I first got pregnant after an FET in Feb so she put me on 25 mcg 1x day Synthroid. She said not only is it important to have it lower when TTC, it should be lower during pregnancy because the baby will use your thyroid during the first trimester since it doesn't have it's own yet. I'd definitely see what you can do about it since it's higher. Good luck!

    PS: I used to live in San Jose for 10 years! :)

    ************ Signature/Ticker Warning ************
    Me (32) DH (36) - Finding our way to baby #1
    Me: POF/DOR - AMH <0.16, heterozygous c677t MTHFR, insulin resistant and gluten intolerant
    DH: Severe MFI

    12/2/11 - IUI #1- BFN 
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  • krdesikrdesi member
    Mine was 4.07 and my doctor also said that it was within normal range. When I asked about it, he said when they look at it, they look at a combination of a few things and everything was normal and the TSH was the only thing slightly elevated. He is going to put me on a low dose synthroid but he said it's really nothing to worry about as long as you get your levels checked once you are pregnant.

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             October/November 2013: IVF #2 w/ICSI

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  • Under 2. I'm on synthriod to keep it down I was at 1.8
    TTC Since 112010 Naturally. Diagnose:PCOS(ME) + Low Motility(HIM). Started IVF+ICSI Cycle 12312. ER 27 & ET 210 two embies transferred. *BFN 1ST IVF CYCLE.* **Getting as healthy as possible and will try IVFICSI#2 again hopefully in April.** -- HAVE FAITH; LET GO & LET GOD --
  • Most RE?s require it to be under 2.5.  I just posted something in regards to this on IFV.  I would be concerned if you have had sequential tests that are coming back in the range you are referencing.  I am sure when you visit the RE on Thursday he will address this... If not I would get a second opinion.


    ***SIGNATURE WARNING***


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    Dx = AMA/DOR, MFI

    IVF/ICSI #1 = BFN

    IVF/ICSI #2 = BFP; early loss

    IVF/ICSI #3 (DE) = BFP; early loss

    FET = BFN

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  • The "old" non-TTC, non-pregnant range is 0.5-5.0, but it's now considered to be 0.5-3.0, so either way, your TSH is considered higher than recommended. REs and OBs would like it to be under 2.5 when TTC or pregnant, so they'll want to get that under control before you start cycling. My RE actually told me that it's OK to start taking the Synthroid *while* cycling, but I didn't feel comfortable with that, so we waited until my TSH was under 2.5 (1.01 as of Tuesday last week!!!) to start cycling. We figure that we want to be in the best possible condition so that we don't waste money or face another possible loss.
    image imageimage
    image

    ***EVERYONE WELCOME***
    TTC #2 with assistance since 03/11
    Me: 33, Autoimmune (Hashimotos and FMS/CFS)
    Treated with Synthroid, acupuncture, TCM and supplements
    DH: 33, MFI (very low on all counts, high antibodies, hemochromatosis)
    Many treatments tried, none successful

    IVF/ICSI #1 05/14 - EPP/Antagonist, Gonal-F and Luveris, 18R, 14M, 13F - SET of 1BC, all arrested on day 5 - C/P
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    IVF #2 03/15 - Long protocol with Suprefact, Gonal-F, and possibly Luveris, adding in PICSI
     
  • I had a 4.2 one day and a 2.59 two weeks later.  My RE wants me at 2.5 or lower, so I am being put on LEVOTHYROXINE 25 MCG.
    Siggy Warning BFP/Loss Mentioned
    Me: 30, DH 30 Started TTC 7/2009
    9/2010 SA=Normal 9/10 HSG Dx Both tubes dilated; Rx bilateral salpingectomy & IVF; 9/2010-12/2012 Financial break
    1/2013 Bilateral Salpingectomy 5/2013 Recent SA shows borderline morphology
    5/2013 IVF w/ ICSI #1 6/25/13 ER=11R 9M 9F  6/28/13 3dt of 2 embies (8B & 6A-); no frosties: BFN
    10/2013 IVF w/ ICSI #2 11/12/13 ER= 9R 6M 6F  11/15/13 3dt of 2 embies (8A & 8A) 3 frosties (2 day-5, 1 day-6)
    11/22/13 (7dp3dt) +hpt  11/26/13 (11dp3dt) BFP Beta=141 11/28/13 Beta 2= 372 EDD 8/5/2014
    3/20/14 Fetal Demise 20 wks F/L 17 wks D&E attempted 3/21/14 & 3/22/14 Born Still 3/23/14  I love you B.T.
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    8/2014 FET 8/7/14 Transferred 1 5-day blast (4AA): BFN
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  • ksgsmuksgsmu member

    imagetptbabe:
    The "old" non-TTC, non-pregnant range is 0.5-5.0, but it's now considered to be 0.5-3.0, so either way, your TSH is considered higher than recommended. REs and OBs would like it to be under 2.5 when TTC or pregnant, so they'll want to get that under control before you start cycling. My RE actually told me that it's OK to start taking the Synthroid *while* cycling, but I didn't feel comfortable with that, so we waited until my TSH was under 2.5 (1.01 as of Tuesday last week!!!) to start cycling. We figure that we want to be in the best possible condition so that we don't waste money or face another possible loss.

    This is all correct...there are new standards and your TSH is considered high without TTC. I finally got mine down to 1.22  and I got pregnant this cycle although a CP.  I don't think that was coincidence. My RE wants mine under 2 for treatments, but my Endocronologists and I now REALLY believe her said I will have an easier time closer to 1.  She was right. Good luck!

    ***siggy/ticker warning***

    Me:36 DH:38 TTC#1 since 4/2012
    Me DX: Hashimotos,Hypothyroid, DOR, MTHFR,  DH: normal

     IUI #1-#4 BFNs and a few cancelled cycles in the mix.
    - poor responder
    ***Suprise BFP on 6/13/13. Natural MC @6wks 3days
    IVF#1 and 2- Cancelled due to no response on max stimms
    FET 5/20- BFP
    1st Beta- 641
    2nd beta- 2166
    Sono- TWINS!!!!
    Two Boys! Born January 2015 @36 weeks.  Healthy and no NICU!  So blessed!



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