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Old 04-17-2006, 05:21 PM   #1
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hypothyroid and fertility

Hi, I was just diagnosed with hypothyroidism last week and was put on 50mg of levothyrexine(I think that's what it's called). I was wondering what the proper TSH levels were to be in order to get pregnant? My husband and I have been trying to get pregnant for about two years now. I'm 28 years old and have had all of the fertility tests done and all have come out fine so far. I'm thinking now that my hypothyroidism may be the cause. My TSH level is 7.561. My other question is whether anyone has had throat pain due to being hypothyroid? My throat has had an ache and has been sore for about two weeks. Has anyone heard of this? Thank you for reading. Carisa

 
Old 04-17-2006, 05:56 PM   #2
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Re: hypothyroid and fertility

I am so sorry to hear of your troubles. I would be out of it at 7.561. I hope you take the time to visit a Reproductive/Fertility Endo. It may surprise you but in a control study of pregnant women without an autoimmune thyroid disease, the TSH came in at 0.9. There is plenty of info on the internet about this issue, just type in thyroid and fertility for searches. But make sure you doctor is aware of recommended guidelines.
As for your throat, I know it has happened with me and I also used to get the feeling of something stuck in it all the time. Since finally feeling better it has gone away.
I wish you luck and hopefully others will post too.

 
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Old 04-17-2006, 06:56 PM   #3
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Re: hypothyroid and fertility

Wow, thank you for replying so quickly! I guess these boards do work. It is surprising that pregnant women came in at an average of 0.9. No wonder I'm not pregnant. I have heard that a level of 1-2 is needed to become pregnant. Yes, I do feel pretty horrible and tired at 7.561, I have a lot of symptoms, but I'm surprised that I'm not overweight. That is the one symptom that I have happily avoided.

 
Old 04-17-2006, 07:41 PM   #4
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Re: hypothyroid and fertility

A TSH between 1 and 2 is ideal. Some recent studies suggest that having the FT3 and FT4 in the upper third of their ranges may be even more important than the TSH level.

I have had constant throat issues since becoming ill with Hashimoto's (autoimmune hypothyroidism). I've had a chronic sore throat, hoarseness, a feeling that something is stuck/clicking, swollen lymph nodes and enlarged/inflammed tonsils. At times my thyroid seems to ache also.

Kelly

 
Old 04-17-2006, 07:55 PM   #5
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Re: hypothyroid and fertility

What is FT3 and FT4? I don't think I was tested for that. My doctor said that if my TSH levels don't come down within the next six weeks than she will do some more tests to see what else is going on. She did mention something about testing for an autoimmune disease if they don't come down. I also feel like my thyroid aches. It's a weird feeling. Sometimes my throat is sore, but it has been aching for a few weeks straight. Almost like a throbbing sensation. Very strange.
Carisa

 
Old 04-17-2006, 08:13 PM   #6
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Re: hypothyroid and fertility

I wouldn't be surprised at all if your antibody testing came back positive for autoimmune thyroid disease.

FT4 and FT3 are the Free Thyroxine levels (as opposed to the "total thyroxine" levels that include not only the unbound hormone but also the bound). They are more accurate because they represent what is available in your body for utilization. The body needs a constant supply of adequate unbound hormone to function. If these free hormones are only present at low levels you will become symptomatic.

Bound hormone is not bioavailable. It is either already being utilized or is being removed from the system. So measuring both bound and free together is not an adequate measurement of what is actually available.

If your thyroid area is achy you may want to request an ultrasound to check for nodules or goiter (an enlargement of the thyroid).

You may want to request the testing now rather than waiting for your levels to come down. It's good to get a clear picture as soon as possible. The labs you may want to request are:

TSH
FT4
FT3
TPO antibodies
Tg antibodies
Ultrasound

I hope your dr complies. Many drs won't run the FT3 since it's an expensive test. Push for it if you can .

Kelly

 
Old 04-18-2006, 07:27 AM   #7
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Re: hypothyroid and fertility

Quote:
Originally Posted by ASDGRMama
A TSH between 1 and 2 is ideal. Some recent studies suggest that having the FT3 and FT4 in the upper third of their ranges may be even more important than the TSH level.
Carisa,
I tried typing fast last night as I had my niece crying, so sorry for any miswording. But the above of 1-2 is what most doctors will treat with fertility issues. I just happened across that study of pregnant women recently in my readings/research online and wanted to let you know about it.

As along with ASDGRMama, I also have Hashimoto's, which is an autoimmune thyroid disease. If you do have an autoimmune thyroid problem, it's not always easy to fix. I went untested and untreated for many, many years with symptoms the whole time. I am now into my 8th month of meds and know I can still feel better. But I feel almost there, beside the flare ups here and there. It's not an overnight process, autoimmune or not, and with you trying to get pregnant, please don't give up. Make sure you get the recommended tests above listed and if possible at your next visit. Always get a copy of your results along with the ranges to keep, and if you post them here, so many people will try to help you understand them better. These boards and the people here have been great. Good luck!

 
Old 04-18-2006, 02:28 PM   #8
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Re: hypothyroid and fertility

Thank you everyone for your great advice. I am so thankful that I found this board. I have an appt. this coming Thursday and I will certainly request those tests that you all have told me about. I hope that my doctor will do them. If I am found to have an autoimmune thyroid disease are you usually referred to an edocrinologist? Or is it something that a regular doctor can help with. Just wondering because if I am found to have that I would rather have a specialist help me out, especially since I'm trying to get pregnant. Anyway, thanks again for taking the time to respond to my questions. Carisa

 
Old 04-18-2006, 02:53 PM   #9
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Re: hypothyroid and fertility

Carisa,

Hi, I too have hasshimotos thyroiditis. I was wondering if you were being followed by an endocrinologist or your family practioner. I was followed by my family practioner for a few months when I was first diagnosed with hypothyroidism and they were not aggressive at all! I finally went to an endocrinologist and he gave me more synthroid (levothyroxine) and got my levels under control. Your TSH levels are high. Normal TSH range is from .4-4.0 so 7.5ish is too high so you are still in the low functioning thyroid state. It took me about 9 months until I finally felt "normal" again. My level right now is low normal around .414. Anyway, My husband and I are also trying to get pregnant with our first child. We have been having some problems with fertility issues as well as my thyroid levels. My levels were too low in the hyper state so I am sill trying to get regulated. My suggestion to you is if you are not seeing an endocrinologist to see one...it made a huge difference in my treatment plan. Also, ask your endocrinologist about trying to conceive. My doctor would not let me try to get pregnant without getting my thyroid in normal range b/c of harmful effects it can have on the baby. I hope this helps. Good luck with everything and hang in there...it gets better...I promise!

 
Old 04-18-2006, 03:16 PM   #10
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Re: hypothyroid and fertility

I would love to go to an endocrinologist. Do you need a referral to go to one, or can I call and make an appointment without a referral? How long have you been trying to get pregnant? We have been trying for two years, it's such a long process. Thanks for responding. Carisa

 
Old 04-18-2006, 04:49 PM   #11
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Re: hypothyroid and fertility

Typically a referral is needed to see an endo. If you have antibodies present you may be referred. Irregardless of your antibody testing your dr should not refuse your request to see an endo; especially if you're trying to get pregnant.

Kelly

 
Old 04-18-2006, 06:52 PM   #12
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Re: hypothyroid and fertility

Hi,

I am new to this. Sorry that this is not directly related to your post. I'm 24 and my husband and I have been trying to conceive since July of 2005, I have irregular periods (once every 1.5-3 months, lately it has averaged 60 days) so I never know when I'm ovulating. About 2 weeks ago, I saw a doctor and started charting my BBT and it is very low 96.8-97.4 degrees with an average of 97.1. Does anyone know anything about causes of low body temperatures or experienced the same thing? I have read some data that points to thyroid hormone level problems. I am scheduled to see the doctor in a few days but would like some info before I go. Any comments will help.

 
Old 04-18-2006, 09:51 PM   #13
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Re: hypothyroid and fertility

Hi, I have been trying to get pregnant too for so long. I was just diagnosed with hypothyroidism. I too have been charting my BBT. Mine have been low as well. Mine averages between 97.0 and 97.4 which is too low. I know that having an underactive thyroid (hypothyroid) does cause a low BBT. You should ask your doctor at your next appointment to check your thyroid level. Are you fatiqued a lot for no apparent reason? I just ask because that is one of the major symptoms of being hypo. Carisa

 
Old 04-19-2006, 06:22 AM   #14
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Re: hypothyroid and fertility

Seeing an endocrinologist is a great idea. They are the specialists in this area. My endocrinologist is very aggressive with my thyroid as well as with my fertility issues. He works closely with my fertility doctor. Im not sure if you need a referral or not it depends on your insurance. You can always call the doctor to find out. I know it took a few months before I was able to get in to see my doctor. We have been trying for one year. I have a luteal phase defect as well as a thyroid issue. I am currently on my second round of fertility meds. I am taking Femara(letrozole) which works the same way as clomid. Anyway, last month i had no luck so we are trying again. Good luck to you.

 
Old 04-19-2006, 01:48 PM   #15
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Re: hypothyroid and fertility

Thanks Koukla3.
I'm going to try and make an appointment with one in my area. I really want to get to the bottom of everything in the quickest time possible. After reading everyones posts I can see that it can take years. I'm not ready for that. We did an IUI last month with no luck. This month we put that on hold because we found out that I have hypo. We are waiting until my levels are at a good point. I'm just worried that I wont be able to convince my regular doctor that I want my tsh to be between 1-2. She said anything between 0.5 and 5.0 is good. That is why I want to see a specialist. Thank you and good luck with the pregnancy stuff. Carisa

 
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