Hypothyroidism and pregnancy... anyone else?
AmyFett
Posts: 1,607 Member
I'm hypo, still trying to get my meds regulated. I'm pregnant now and I was told I'd have to up the dose considerably when I became pregnant... we've been trying for a year or so before I got pregnant.. I just lost 24 lbs over the last 9-10 months and as you all with hypothyroidism know, it's VERY hard to take the weight off! a few weeks before my + test, my tsh was 4.7. My doc wants it under 1... Anyway, I'm 7 weeks along now, still haven't made an OB appointment due to insurance being complicated at the moment... my primary doctor wont' do anything with me or my medicine because that's an "OB's job now." I've been really fatigued, beyond just regular pregnancy, first trimester tiredness. Also, I don't want to gain so much weight back that I just worked so hard to lose! I don't know what to do right now and don't have anyone that can relate to being both hypo and pregnant...
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Sorry, but the closest I can relate to your situation is me being pregnant and my husband being diagnosed w/hyperthyroidism in Aug and the docs killing his thyroid in Dec (he was isolated to the basement for a week).
As far as the weight gain is concerned, as long as you track your calories, drink enough water (minimizes fluid retention), and make healthy food choices, you'll be ok. Just keep in mind that if you do that, the weight you gain isn't all fat stores; you're making a baby, body will have increased blood flow, you've got the amniotic fluid to factor in, etc. So of the weight you gain, only a fraction is what you'll have to work off so it won't be bad as you think. For the first tri, rest as much as you can as that will help your body more than anything. If you don't feel like or can't work out, don't worry. Once you get to the second trimester, you'll get more energy and can resume workouts then. Again, give you body what it needs and it will take care you and your baby. I know this isn't exactly the answer you were looking for, but I hope it helps at least a little!0 -
I'm hypothyroid too and have adrenal hormone problems... I find that a moderate-carb, moderate-fat, highish protein diet works best for me and how I feel. I'm hoping to keep my pregnancy weight gain at 30 lbs or less, I started a bit overweight. My last TSH was 0.86 which I was really happy about, and I take 150 mcg of Synthroid once a day.0
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Hi,
I'm Hypo too. Not much to offer other than support......
I have to have blood tests every 4-6 weeks and have had my meds upped once so far. I think I was down to TSH 1.8 and the Endo wants it lower. He thinks its better to be hyper than hypo during pregnancy. Not sure if that's the same approach American Endos......
Also, I've gained 11 pounds at 20 weeks which is considered normal, so I'm happy with the weight gain so far. Hopefully it stays healthy.
Hang in there!0 -
Interesting, my husband was hyper and his endo said it was easier for them to accelerate it to hypo because bringing thyroid functions up to the normal range is much easier to control with meds than to bring it down to normal, not to mention less taxing on the heart (he went to the ER for chest pains which is how we found out he was hyper). Unless your body does something differently in pregnancy to make the opposite true, I'm curious to know what the reasoning is...I have to have blood tests every 4-6 weeks and have had my meds upped once so far. I think I was down to TSH 1.8 and the Endo wants it lower. He thinks its better to be hyper than hypo during pregnancy. Not sure if that's the same approach American Endos......0 -
Interesting, my husband was hyper and his endo said it was easier for them to accelerate it to hypo because bringing thyroid functions up to the normal range is much easier to control with meds than to bring it down to normal, not to mention less taxing on the heart (he went to the ER for chest pains which is how we found out he was hyper). Unless your body does something differently in pregnancy to make the opposite true, I'm curious to know what the reasoning is...I have to have blood tests every 4-6 weeks and have had my meds upped once so far. I think I was down to TSH 1.8 and the Endo wants it lower. He thinks its better to be hyper than hypo during pregnancy. Not sure if that's the same approach American Endos......
Hi,
Happy to answer with what my Endo has told me. They would rather I be Hyper Because they are more worried about the baby than me.
A baby is more at risk with a mother being hypo than hyper. When you're hypo, there isn't enough thyroid hormone for both you and your baby....... *possibly* leading to delays in brain development, etc. being too hyper isn't good either, but I guess it's "safer" for the baby.
Maybe others with more experience and multiple pregnancies can chime in too. I live in Australia and they do it differently. My PCP and OB were in no way touching my thyroid problems, I had to see an Endo. In the US (I visit here frequently) my OB said she would treat my thyroid during pregnancy.0 -
Ah, that makes sense. Thanks!
Interesting, my husband was hyper and his endo said it was easier for them to accelerate it to hypo because bringing thyroid functions up to the normal range is much easier to control with meds than to bring it down to normal, not to mention less taxing on the heart (he went to the ER for chest pains which is how we found out he was hyper). Unless your body does something differently in pregnancy to make the opposite true, I'm curious to know what the reasoning is...I have to have blood tests every 4-6 weeks and have had my meds upped once so far. I think I was down to TSH 1.8 and the Endo wants it lower. He thinks its better to be hyper than hypo during pregnancy. Not sure if that's the same approach American Endos......
Hi,
Happy to answer with what my Endo has told me. They would rather I be Hyper Because they are more worried about the baby than me. A baby is more at risk with a mother being hypo than hyper. When you're hypo, there isn't enough thyroid hormone for both you and your baby....... *possibly* leading to delays in brain development, etc. being too hyper isn't good either, but I guess it's "safer" for the baby.
Maybe others with more experience and multiple pregnancies can chime in too. I live in Australia and they do it differently. My PCP and OB were in no way touching my thyroid problems, I had to see an Endo. In the US (I visit here frequently) my OB said she would treat my thyroid during pregnancy.
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Get your thyroid checked. The blood tests are expensive, but you want your baby to be healthy. We TTC for 2 years before I found out the I had hypothyroidism, and I think taking the medicine helped TTC. Once you get your blood checked, the meds are cheap $4 bucks a month. It is really important to keep your thyroid in check, especially when pregnant. I'm newly pregnant as well and have hypothyroidism. The doctor said it was important to stay on the pills and to test to make sure the baby will be ok. I'm sure you'll figure it out! Congratulations and good luck to you!0
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