16.10.2015

Tsh level for getting pregnant

In some cases, pregnancy can actually lessen the symptoms of thyroid disease, and you may be one of the many women who enjoy a nine-month respite from some of the undesirable effects of thyroid conditions. If I could urge women with thyroid disease who are contemplating pregnancy to do one thing, it would be to become educated about how thyroid dysfunction can affect fertility and pregnancy - and what to do about it. The increase in prolactin may be caused by an elevation of a hormone from the hypothalamus called TRH (or thyrotropin releasing hormone) that stimulates the pituitary gland to send out both prolactin and TSH.
Yes, you should bother trying - there are many, many success stories (I happen to be one of them, as it only took a few months to get pregnant with my daughter). My endocrinologist at the time I was trying to get pregnant believed very firmly that most women with a thyroid problem should be maintained at a TSH level of between 1 and 2 in order to help them get pregnant -- and maintain the pregnancy.
Keep in mind that if you are monitoring your ovulation and cycle, and have your thyroid and TSH levels regulated, and you still don't get pregnant after the requisite six months to a year, you probably should consult with a fertility specialist for additional treatment and ideas.


Read all you can, ask questions, and urge your doctors to perform the necessary blood tests to keep your levels in check. Rubenfeld said that "the mechanisms by which thyroid problems interfere with fertility are often unknown, but there is no question that other aspects of thyroid function affect fertility." For example, Dr.
Sheldon Rubenfeld, a practicing thyroidologist, and Founding Chairman of the Thyroid Society for Education and Research, fairly common problems caused by thyroid dysfunction are anovulation (no ovulation, or release of an egg) and menstrual irregularities.
A TSH of .9 is a far cry from the so-called "normal" TSH levels of 3 or 4 or 5 that some doctors feel are no impediment whatsoever to getting -- or staying -- pregnant.
Pregnant women with hyperthyroidism can also develop high blood pressure, and are at greater risk of heart conditions.While a thyroid condition can sometimes complicate the process of getting - or staying - pregnant, the good news is that when your disease is properly managed, most of you with thyroid conditions -- whether hypothyroid or hyperthyroid -- can have a safe, uneventful pregnancy and delivery. A shortened luteal phase can cause what appears to be infertility, but is in fact failure to sustain a fertilized egg, with loss of the very early pregnancy at around the same time as menstruation would typically begin.


In 1994, a study in the Journal of Clinical Endocrinology and Metabolism looked at pregnant women with thyroid antibodies and TSH in the normal range. You can also use an over-the-counter ovulation predictor kits, available for around $10 at the drugstore, to confirm ovulation.
Taking your medications, keeping your thyroid levels -- including TSH and T4 -- under control, getting regular care with a specialist familiar with treating pregnant thyroid patients, and taking charge of your own health appears to be key to a successful outcome.
The study found that women with autoimmune thyroid disease had TSH values significantly higher, though still normal, in the first trimester than in women with healthy pregnancies used as controls.



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