Pregnant with Hashimoto's Thyroiditis
Tuesday, June 25, 2013
Morning sickness sucks
Sorry I have not been posting anything lately, I have been taken over my morning sickness. It has pretty much consumed my life, where I can try to get done the necessary work that I must get done and then rest. I wish there was a magic recipe for helping with the nausea, but nothing seems to help but eating constantly and moving around a lot, which is not easy to do when your job requires you to be in front of a computer most of the day. One of the most difficult parts of the day is the morning, because I have to take my synthroid in the morning and wait a 1/2 hour till I can eat breakfast, so it just starts the day off wrong everyday. Since I am going to be in week 9 on Thursday, I am praying for some relief in the near future. I have my first OB appointment tomorrow, so I will post later this week with how that goes!
Thursday, June 13, 2013
Visit to the Endocrenologist
My endo appointment was yesterday afternoon and it went very well. My levels were last checked in March and TSH was 1.6. The endo's test came back 2.6, still very good. The recommended levels during the first trimester should be under 2.5 so I am right on the borderline. He increased my synthroid from 75mcg to 88mcg. I still have about a months worth of 75's left so he told me to take an extra pill once a week. I asked if I should take one in the morning and one at night the day I take two and he said no, just take both at once, the synthoid will stay in your system for about a week at a time so it's doesn't need to be a daily adjustment. I remember reading somewhere that most docs will tell pregnant women in the first trimester to take an additional pill a week and that will give you a standard boost.
On a personal note, the morning sickness and exhaustion have been in full swing this week. I can barely function and it is not great. With my first pregnancy, I was sick, barely could keep food or drink down 'sick', for a good two weeks at this point, so I am thankful that is not the case this time around, but a constant nauseous feeling is not fun. I have been trying to rest as much as possible but I still have work and house work piling up, so I am hoping relief is coming soon.
Baby is 7 weeks!!
On a personal note, the morning sickness and exhaustion have been in full swing this week. I can barely function and it is not great. With my first pregnancy, I was sick, barely could keep food or drink down 'sick', for a good two weeks at this point, so I am thankful that is not the case this time around, but a constant nauseous feeling is not fun. I have been trying to rest as much as possible but I still have work and house work piling up, so I am hoping relief is coming soon.
Baby is 7 weeks!!
Wednesday, May 29, 2013
Recommended testing and levels during pregnancy
Knowledge is power and you need to be your own health advocate and tell your doctors what YOU want. I know you have heard it before and it may be hard to speak up, but it truly important that you feel comfortable with the care you are getting.
That being said, my PCP gave me a ridiculous range for TSH levels that I didn't agree with back when I was first diagnosed. That's when I went to the endo and he agreed with with the levels I thought were appropriate and upped my synthroid. If you doctor is telling you what they think is normal and you don't agree, tell them or find another doctor who will.
Here are some recommendations for frequency of testing and what your levels should be throughout pregnancy.
That being said, my PCP gave me a ridiculous range for TSH levels that I didn't agree with back when I was first diagnosed. That's when I went to the endo and he agreed with with the levels I thought were appropriate and upped my synthroid. If you doctor is telling you what they think is normal and you don't agree, tell them or find another doctor who will.
Here are some recommendations for frequency of testing and what your levels should be throughout pregnancy.
According to the Guidelines of the American Thyroid Association for the Diagnosis and Management of Thyroid Disease during Pregnancy and Postpartum:
RECOMMENDATION 2 – Trimester-specific reference ranges for TSH are recommended: first trimester, 0.1–2.5 mIU/L; second trimester, 0.2–3.0 mIU/L; third trimester, 0.3–3.0 mIU/L.
RECOMMENDATION 16 – In pregnant patients with treated hypothyroidism, maternal serum TSH should be monitored approximately every 4 weeks during the first half of pregnancy because further dose adjustments are often required.
RECOMMENDATION 17 – In pregnant patients with treated hypothyroidism, maternal TSH should be checked at least once between 26 and 32 weeks gestation Baby is 4 weeks and 6 days!
Tuesday, May 28, 2013
What to do when you find out your pregnant and have Hashimoto's?
One of the first things I thought of when I found out I am pregnant is testing my thyroid, but when? Should I wait till my OB appointment and discuss with him or call my endo? It was kind of hard to find an answer but I got a quick one here: http://www.nytimes.com/ref/health/healthguide/esn-hypothyroidism-expert.html?pagewanted=all
Dr. Alex Stagnaro-Green says, "as soon as they get pregnant, I have my patients call me immediately to get thyroid function tests so that I can modify their dose as early as possible in the pregnancy. Bottom line is that as soon as a woman knows she is pregnant she should be tested and see her doctor."
Your thyroid functions differently with all the flucuations of hormones going on, so getting a blood test as soon as possible is important.
I called my endo last week on Thursday and got the blood test requisition on Friday, 5/24. Being Memorial Day weekend, I waited till today, 5/28, to get the test and we should have results in the next few days
Dr. Alex Stagnaro-Green says, "as soon as they get pregnant, I have my patients call me immediately to get thyroid function tests so that I can modify their dose as early as possible in the pregnancy. Bottom line is that as soon as a woman knows she is pregnant she should be tested and see her doctor."
Your thyroid functions differently with all the flucuations of hormones going on, so getting a blood test as soon as possible is important.
I called my endo last week on Thursday and got the blood test requisition on Friday, 5/24. Being Memorial Day weekend, I waited till today, 5/28, to get the test and we should have results in the next few days
baby is 4 weeks and 5 days
Why I started this blog
I was diagnosed with Hashimoto's thyroiditis in Dec 2011 after noticing my enlarged thyroid. I was a little nervous about it since I didn't know much of anything about thyroid disease, but I knew it was common so I didn't panic.
I got home and read everything I could about it to make sure I got the correct treatment and after multiple blood tests, finding an endocrinologist and 3 different levels of meds I am feeling good with 75mcg of synthroid and TSH was 1.24 in March. I got tested in March because my husband and I started to really try for another child and I wanted to make sure we were good to go, as my endo suggested. Now we are four weeks pregnant and super excited, but a littler nervous because of what I read about Hashi's and pregnancy. I wanted to start this blog because I am an web junkie, I look everything up online and get info from all sorts of sources, but I could barely find anything about Hashi's and pregnancy! I know a lot of women suffer from this same disease and are probably searching for the same info, so I figured I would share my experience and info that I find.
I got home and read everything I could about it to make sure I got the correct treatment and after multiple blood tests, finding an endocrinologist and 3 different levels of meds I am feeling good with 75mcg of synthroid and TSH was 1.24 in March. I got tested in March because my husband and I started to really try for another child and I wanted to make sure we were good to go, as my endo suggested. Now we are four weeks pregnant and super excited, but a littler nervous because of what I read about Hashi's and pregnancy. I wanted to start this blog because I am an web junkie, I look everything up online and get info from all sorts of sources, but I could barely find anything about Hashi's and pregnancy! I know a lot of women suffer from this same disease and are probably searching for the same info, so I figured I would share my experience and info that I find.
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