Very High TSH at First Prenatal Visit

posted 1 week ago in Pregnancy
Post # 2
Member
2840 posts
Sugar bee

They should have put you on thyroid meds immediately. When I was pregnant, my OB handled that. You should go see an endo, but I would also tell your OB to put you on meds TODAY as it is important to get that under control for the healthy development of your bub. I’m sure everything will be fine, but it does need to get taken care of as soon as possible.

Post # 3
Member
912 posts
Busy bee
  • Wedding: December 2012

memphis :  It’s not ideal, but I’m surprised your OB won’t prescribe anything in the mean time.  I would just take the first available appointment.  Maybe call the endocrinologist and explain the situation.

Post # 5
Member
912 posts
Busy bee
  • Wedding: December 2012

memphis :  I’d call back and ask to see your doctor.  What is the status of the endocrinology appt?  Can you call them too?  

How do you feel?  I know this is hard because you are pregnant but have you always felt tired? Low energy? Anything hypothyroid?

Post # 7
Member
1505 posts
Bumble bee

Try not to worry (easier said than done). Once you are on meds, they should take effect and level things out properly for you. I had a high TSH  before my embryo transfer and I was pretty nervous, but once they adjusted my dose things got better quickly. 

Not sure what med you’ll be prescribed, but I’m on Synthyroid. It works well. 

Post # 10
Member
686 posts
Busy bee
  • Wedding: December 2013

I don’t want to cause any panic but a TSH of 17 is very high. I would call back both the endo and OB office today, maybe even your GP and insist the paperwork is reviewed and a script is written.Today. 

My TSH was elevated last month at 5.5 and my medical team freaked and increased my levothyroxine dose by double, right away. I obviously have a history with thyroid issues. 

Hypothyroidism absolutley can cause miscarriage, the risk is even higher in the 1st tri as the baby doesn’t begin producing thyroid hormones till weeks 13/14.

Good luck, remember you alone are your best advocate when it comes to medical care.

editing to add I am currently 33 weeks with my second child – both pregnancies have been healthy but careful management of my thyroid was and has been essential throughout both. 

Post # 11
Member
2840 posts
Sugar bee

On a positive note, it did not take long at all for my thyroid meds to work. I would also insist on brand name as the generics tend to be inconsistent. I used levoxyl as I did not like snythroid, but everyone is different and it should bring your numbers down either way.

Post # 13
Member
686 posts
Busy bee
  • Wedding: December 2013

I don’t understand either. I would ask your OB to send your bloodwork to your gp within the hour so they have that before COB. I would also agree that you may want to look into a different ob practice going forward.

Post # 15
Member
474 posts
Helper bee

memphis :  It was discovered that I have a subclinical hyperthyroid a few months before I got pregnant. In the meantime, this is what I learned: 1) you have less to worry about if your T3/T4 numbers are in the normal range 2) HSG binds to TSH causing your TSH numbers to drop naturally as your HSG increases in pregnancy (this is actually more dangerous- causing miscarriage). My endocrinologist didn’t have me go in for more thyroid bloodwork until 10 weeks.

I think if your PCP and OB are ok with you waiting until Wednesday then I would just sit tight. My OB office would have treated a hypothyroid (I know because they offered and then I reminded them that I am hyperthyroid and they said “nope!” lol)

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