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.

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!

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 

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.