Hypothyroid moms

misslissa32 · January 2016

How often are you having your numbers checked while pregnant? My endo told me that synthroid is metabolized much faster while pregnant and I should expect to increase dosage many times over 9 months, and then back down after baby is born. I wasn't hypo with my first so this is all new to me.

Cosupi4 · January 2016

I had it with my first. They found it a month before we conceived and only raised my meds once during pregnancy. I had my levels checked at the second trimester and the beginning of my third. After I had him, they took me off everything. A few months later they checked my levels again and everything was normal. I just had them checked again 3 years later and they are still normal.

TCUFrog08 · January 2016

My PCP wants to check it every 3 months and my OB is the same.

smilormarie · January 2016

*Iodine - see below*
I'm secondary hypothyroid and my levels never match up. They just read my TSH and adjust meds according to that like I have primary hypothyroidism when they should be only my looking at T4. Which is usually borderline low. Ugh. That means I feel pregnant (tired, hair falling out, nausea, gaining weight, bloated) all the time even when I'm not. So I'm chronically under treated. Last pregnancy they never upped the dose like they should have even though I was #1 - Pregnant, and #2 I gained 35 lbs which would require an increased dose anyway. I've saved up a few of my pills from changeover in picking up my Rx and other ways and I'm taking an extra half a pill twice a week to account for the 30% increase I need. I did it with my first pregnancy and my son is healthy, really smart, and really tall. I think they only checked my levels once mid pregnancy last time.

Here's the *

You need extra iodine!! Be sure your prenatal vitamin has iodine or that you find a separate supplement. I cannot stress this enough. Even with adequate thyroid hormone, if your body does not have enough iodine your thyroid will not operate as it should. And baby takes all the iodine at one point and food has very little so you are not getting it from your diet like you think you might. Think iodized salt. That's it. I found a pre natal last time with iodine added and I cannot for the life of me remember so I'll be asking the OB to recommend one. Good luck!
https://health.usnews.com/health-news/blogs/eat-run/2013/08/30/why-iodine-is-important-during-pregnancy

SMRandbaby · January 2016

I have hashimotos... And with my DD I went for blood work every month to test levels... My levels never changed and I was the same all throughout my pregnancy... Really depends on your body...

SMRandbaby · January 2016

Iodine isn't the answer for everyone... Mine is genetic and no amount of iodine will affect that... Ask your endo

SMRandbaby · January 2016

@msdidonato you need to see an endocrinologist who specializes in this

TCUFrog08 · January 2016

@SMRandbaby I have never seen an endocrinologist. It's always been my regular doc.

AlexandraMarcotte · January 2016

I was referred to an endocrinologist for my last pregnancy, and did bloodwork about every 6-8 weeks. My medication only changed a few times, and it isn't as big of a deal later in the pregnancy since the baby is making its own thyroid hormone at that time. But definitely worth the visits - my thyroid can make me fatigue easily, and pair that with pregnancy and I was out for the count! It was good to have the added checks

searchingforameaning · January 2016

i have hashimotos and graves disease. gernally the graves has been winning the battle - so more often hyper. but then there are times when its like the thyroid shuts off and I go hypo. Makes it hard to regulate when it bounces up and down. They have been testing me monthly since I got pregnant, and so far- I am off all meds and my #'s are all normal. So I guess being pregnant has temporarily fixed my thyroid! Go in for another blood draw next week so hopefully numbers are still good. Meds for hyper can be risky for baby.

Sonicstef · January 2016

I have hashimoto's and I go once every few weeks in the first trimester and then assuming my levels are good, I can go once every 3 months.

smilormarie · January 2016

searchingforameaning said:
i have hashimotos and graves disease. gernally the graves has been winning the battle - so more often hyper. but then there are times when its like the thyroid shuts off and I go hypo. Makes it hard to regulate when it bounces up and down. They have been testing me monthly since I got pregnant, and so far- I am off all meds and my #'s are all normal. So I guess being pregnant has temporarily fixed my thyroid! Go in for another blood draw next week so hopefully numbers are still good. Meds for hyper can be risky for baby.

Considering Hashimotos and Graves are autoimmune thyroid disorders, yes, pregnancy probably would be a temporary cure. That's great news. I had a very mild (almost not worth even diagnosed) case of plaque psoriasis between my fingers on the back of my hands for over a decade and it would flare up every winter. Well the first winter I was pregnant - smooth as baby hands. It disappeared and my GP asked me to come in to have it evaluates a few months post pregnancy. She wanted to catch me in a huge flare and said usually a few months after you deliver and your immune system returns to normal, your autoimmune disorders come back full force. 4 winters and counting, still no rash. :-) Hopefully pregnancy is a more permanent cute for you as well!

riveridgional · January 2016

My dose of levothyroxine (synthroid) increased from 112.5 mcg to 150 mcg when I was 5w5d. I went through IF, so my levels were checked pretty regularly (about 1x every 2 months). My RE was a little surprised my level had to go up so much so quickly, so it sounds like that much of a change that quickly is unusual. Since then, I've been retested once at 8w5d and was back to a good level for PG. I'm getting tested again when I go back for my NT screening (still waiting to schedule). If I chose not to do NT screening, I would have been tested again at 14w5d (my next prenatal checkup). My OB is handling my thyroid now. I went from my primary care physician handling it, to my fertility specialist (reproductive endocrinologist), to my OB.

Searchingforameaning may be the exception because she has autoimmune for both, but pregnancy is not typically a cure for hypothyroidism. In fact, it usually requires extra thyroid production and women with hypo can expect their levels to increase and change multiple times throughout pregnancy and after.

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