Hashimoto's, hypothyroid, and pregnancy - Page 2

[TIFF4NY]

I'm now 28w4d with my 2nd pregnancy (dx'd with hashimoto's this pregnancy) and *just* had my dose reduced from 200mcg to 100mcg. This little girl is growing well and looks good at every appt. 

I do have a question... For anyone who was overweight at the start of a pregnancy and then was dx'd during that pregnancy, how was your weight loss afterwards? I had been stalled for two years despite doing everything I could. I'm curious if maybe that will change after this baby is born or if I should still expect to have some stalling. It's really mentally defeating.

[southernmommie]

Weight loss for hypo is very hard. Easy weight loss and hard to gain is typically associated with Hyper and Graves. Hashi's and hypo are the other way. Hard to lose easy to gain.

To respond to the original post, I have been hypo for my previous 4 pregnancies. I did not experience fertility problems associated with thyroid disorder. I only recently got diagnosed with Hashi's because I demanded it. I probably had it with my previous pregnancy. My levels are almost impossible to stabalise with medicine. Since being diagnosed with Hashi's this past year, we had to up my dose to a new all time high which is too high for my height and weight to 200 mcg. Just did a blood draw last week and we now have to up it to 250mcg. I am currently pregnant with twins and in the first trimester. My levels typically do finally stabalize at my second trimester and do not need to be readjusted until a few weeks after delivery when my hormones will go out of whack again flucuating from birth and breastfeeding. And then will readjust dose and stabalize as long as I am breastfeeding. Once I stop, I go back and forth between doses again and need constant checking again. Ironically, my levels do the best during pregnancy and breastfeeding.

[mamaki]

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Originally Posted by cardigan 

I've had hashimoto's for 10 plus years. Coincidentally, I had my thyroid checked right before I conceived (tsh .75) on 125mcg. I bullied my way into the Dr once I had a + preg (5w) and cajoled the resident to confirm that I needed my meds upped, she upped my meds to 150mcg. At 7 weeks, blood was tested and was ok, (dr did not tell me tsh level, which is one of many problems w dr) but at 8 weeks, tsh was up to 2.76 so now week 9meds are 200mcg.

So, I'm thrilled dr is testing frequently, and reacting to test results. Bc of Hashimoto's I'm designated 'high risk' But I have yet to receive any explanation of how and why we treat thyroids during preg (aside from google) nor why my ultrasounds will be done by specialist.

I wasn't considered "High risk" in any of my pregnancies. I have had midwives with all my pregnancies. I'm now 35 yrs old and 14 wks pregnant with my 4th and still not considered high risk. I'm planning a natural midwife home birth (like my last birth).

So I'm not sure why they would consider you high risk just because of being hypothyroid. My family dr follows my thyroid (I just had my dose increased from 150mcg to 175mcg). I did have my thyroid antibodies checked last pregnancy and this one too - apparently they learned new information about the risk of thyroid antibodies (I think that's Graves' disease related) during pregnancy. But my antibody levels have been fine both times.

[cardigan]

I think my OB categorises "high risk" pregnancies as "needing extra attention" which bc of more frequent blood testing. I fall into this bucket, although there isn't much risk. I have dr appt Thursday, so hopefully that will elucidate some of this.

[deborahbgkelly]

Mine was .5 pre-pregnancy, 2.2 in early pregnancy, and 5 at around 9 weeks. The nurse did not seem worried about it and just upped my dose. I will get it checked monthly until 5 months. My OB is really good about checking everything.

[deborahbgkelly]

Mine was .5 pre-pregnancy, 2.2 in early pregnancy, and 5 at around 9 weeks. The nurse did not seem worried about it and just upped my dose. I will get it checked monthly until 5 months. My OB is really good about checking everything.