Aa
Multinodular Goiter-Trying to Conceive
Hello,
I'm a 23 year old female who is usually quite healthy. At a routine physical a few months ago my dr. said my thryoid felt "bulky." I had a thryoid ultrasound done which showed "tiny" bilateral nodules, noncalicified, suggestive of mild multi-nodular goiter per the path report. I saw an ENT who did not seem very concerned and said I should come back in six months with a repeat ultrasound. I also had bloodwork done which showed a TSH of 3.62 and a Free T4 of 1.10..My husband and I are now wanting to try and conceive and I have stopped my birth control. However, I've read that in order to have a healthy pregnancy a TSH should be between 1-2. Is this of concern to me and should I go back and see my dr. before trying to get pregnant (I'm not due to see him for another 3-4 months)? Also, I've heard TSH's fluctuate frequently, would the fact that I had my blood drawn early in the morning along with other fasting labs make any impact? Thanks for any advice you can provide!
Hallie
I'm a 23 year old female who is usually quite healthy. At a routine physical a few months ago my dr. said my thryoid felt "bulky." I had a thryoid ultrasound done which showed "tiny" bilateral nodules, noncalicified, suggestive of mild multi-nodular goiter per the path report. I saw an ENT who did not seem very concerned and said I should come back in six months with a repeat ultrasound. I also had bloodwork done which showed a TSH of 3.62 and a Free T4 of 1.10..My husband and I are now wanting to try and conceive and I have stopped my birth control. However, I've read that in order to have a healthy pregnancy a TSH should be between 1-2. Is this of concern to me and should I go back and see my dr. before trying to get pregnant (I'm not due to see him for another 3-4 months)? Also, I've heard TSH's fluctuate frequently, would the fact that I had my blood drawn early in the morning along with other fasting labs make any impact? Thanks for any advice you can provide!
Hallie
I made an appt. with my ob just to see his thoughts on my thyroid issues (which are not being treated) before I try to conceive. He requested that I get my levels tested again, and this time my TSH came back as 2.2 (down from 3.62) and my free t4 was 1.12 (up slightly from 1.10). Is it weird for the TSH to change so much within two and a half months?? Is this now in a safer range for conception? And should I demand that he test for antibodies? Sorry for all th questions, but thanks for any help anyone can give!
Hallie
Hallie
MEDICAL PROFESSIONAL
Would retest TSH and also test TPO and TG antibodies -- if antibodies positive, then there is evidence that treatment decreases miscarriage rates. TSH goal in most cases is 0.3-2.0 for conception/pregnancy.
I should also add that I feel absolutely fine at this TSH level, experiencing none of the "hypo symptoms" I've read about. However, my Dad and his two brothers do have hypothyroid and my Mom has hyperthyroid..for what it's worth.
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