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TSH Level Imbalance
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Nothing to be done at present.
You have already discontinued Thyronorm.
Your wife is not pregnant at present.
You should keep trying for pregnancy. Your T3 and T4 levels don't suggest hyperthyroidism.
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Gynecologist
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Trying for pregnancy is no wrong, although having thyroid issues, have a detailed evaluation with an Endocrinologist regarding the thyroid concern and parallel have and consultation with infertility specialist regarding the same. Holistic approach is needed in this concerns where multidisciplinary approach helps a lot, thank you.
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Thanks for sending across your query to Dr.Monga Medi Clinic.The medicine for hypothyroidism should not be stopped but the dose should be reduced uncontrolled hypothyroidism sometimes lead to infertility. Plz consult a doctor before leaving or decreasing the medicine
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You must wait to try for pregnancy. High thyroid levels can lead to complications or miscarriage. Wait until TSH is back to normal.
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0.01 is very low and can strain the heart., We must find out if this is Graves' Disease. Get a TRAb Test done . Check her resting pulse if it is above 100 .
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Consult Gynaecologist
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No need to stop… you should have decreased the dose of levothyroxine to 12.5mcg…
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No worries. Just wait for 4 weeks and then repeat TSH
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Subclinical thyroid. Possibility of pregnancy is there. Consult superspecialist like endocrinologist with gynac
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TSH 0.01 with normal to high T3–T4 suggests over-suppression (iatrogenic hyperthyroid state) after Thyronorm
not ideal for conception.
Next Steps
Hold levothyroxine
repeat TSH + FT4 in 2–4 weeks consult physician to re-adjust the dose
Your target TSH around 1–2.5 before trying for pregnancy.
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Avoid self-adjusting doses monitor every monthly , and plan conception only after TSH normalizes for safer pregnancy outcomes.
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It takes nearly 6 weeks for TSH to change once the Thyronorm dose is altered. Ideally one should not just stop/start thyronorm. Please ask her to take Thyronorm 25mcg and get TSH re-checked after 6 weeks.
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All the best. Free Online Consultations for those aged 50 years and above www.jgsr-health-education.in
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You have subclinical hypothyroidism. You can take thyronorm 25mcg. Pregnancy is possible, go ahead with planning a pregnancy.
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You should wait till TSH return to normal ideally for 3 month ,,she can take folic acid tablet adapt healthy lifestyel .consult endocrine for further evalution
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get Anti TPO test done
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maintain a healthy weight
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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