إسأل Licensed Physician الآن

Dr. Mohammad Derbeih

Dr. Mohammad Derbeih

Licensed Physician

الأسئلة المجابة 23118 | نسبة الرضا 98.9%

Doctor

im pregnant 5 weeks and my thyroid level is 3.52

تم تقييم هذه الإجابة:
im pregnant 5 weeks and my thyroid level is 3.52
Doctor's Assistant: Have you seen a doctor about this yet? What medications are you taking?
I have been taking thyroxine almost from 7 years and before pregnancy I was taking 50 and now doc suggest me 75
Doctor's Assistant: Anything else in your medical history you think the doctor should know?
i just want to know is this dosage ok as per the range i shared

إطرح سؤالك

إجابة الخبير: Dr. Mohammad Derbeih

Dr. Mohammad Derbeih

Dr. Mohammad Derbeih

Licensed Physician

الأسئلة المجابة 23118 | نسبة الرضا 98.9%

Dear Customer
Welcome, and thank you for trusting us
Regarding your question
What is the normal change in the thyroid during pregnancy?
The size of the gland increases by 10%. Production of thyroid hormones T3 and T4 increases by about 50%. As a result, the level of normal thyroid stimulating hormone (TSH) during pregnancy is lower than normal TSH level.
Recommendations for testing thyroid diseases during pregnancy
The new recommendations for TSH during pregnancy are:
First trimester: less than 2.5
Second trimester: 0.2-3.0
Third trimester of pregnancy: 0.3-3.0.
What does the TSH ratio above indicate ?
If TSH is greater than 2.5 at any time during pregnancy, T4 levels should be checked to determine if hypothyroidism is medically or medically unimportant
If T4 is low, the diagnosis is a pathologic hypothyroidism which can impair neuronal development of infants. There is also an increased risk of premature birth, low birth weight, and miscarriage. Hypothyroidism should be treated in this case
If TSH is high and T4 is normal, the diagnosis is subclinical hypothyroidism . In this case, the next step is to check the pyroxidase antibody for thyroid gland. Women who are positive antibodies should be treated as hypothyroid. The effect of hypothyroidism on the neural development of the fetus is not clear. But one large study showed low IQ tests in non-treated children.
Treatment is necessary when TSH is 10 or more, regardless of T4 level. In addition, TSH should be monitored every 4 weeks during the first 20 weeks of pregnancy, then again between 26 and 32 weeks
I hope my answer was helpful, please let me know if you have any follow up questions. If you feel I've answered your question already, please rate my answer from top of the page. Your feedback helps to ensure only the best experts are available to help you.
You can also ask questions of our other specialists in the areas of nutrition, therapists, IT specialists, medical doctors, and many more
Kind Regards

إسأل Licensed Physician

Dr. Mohammad Derbeih

Dr. Mohammad Derbeih

Licensed Physician

الأسئلة المجابة 23118 | نسبة الرضا 98.9%

  • 100% ضمان الرضا
  • انضم الى 8 مليون من العملاء الراضين
المحادثات تتم ضمن هذه البنود

في الأخبار