In June my OB/GYN tested my TSH which came back as 4.55. Nothing was ever said about it as the cut off is 5 of the reference value. All along I've been struggling with irregular cycles and spotting up to an entire week before my period starts. I've also battled classic hypothyroid symptoms for years, mostly with fatigue.
Of course I didn't catch this until a week or so ago when I realized my labs were available to me online (not a good thing for a person such as myself!). I had seen my PCP in December who orders a TSH on everyone on a yearly basis and was rechecked this past Wednesday and am anxiously awaiting the result.
Have those of you with vulnerable TSH's found yourself feeling better (and pregnant) when getting that number closer to 1-2? After I get the latest result, I plan on calling my RE to see if they have any concern with this. He didn't repeat any labs nor did he ask to review any previous ones as I had stated everything had come back normal.
Me: 31 Husband: 32 Hoping for baby #1 in someday!!
History: 5 years of marriage not TTC, but not TTA either = no pregnancy, Chronic Spotter
October, November 2010: Clomid 50 mg - BUST
December 2010: Break! HSG done on CD 5 - All clear!
January 2011: Clomid 100 mg, Ovidrel CD 13, Estrogen and Prometrium.....only stimulated one follicle; cyst on left ovary discovered
February 2011: Clomid 150 mg, no follicles stimulated, left ovary cyst appears to look like an endometriosis cyst; Husband's SA revealed low morpholgoy
March 2011: Consulted with RE again; lap scheduled for April 2011; will move onto injectables once the endometriosis is cleared..probably paired with an IUI or IVF.
Other various supplements, herbs and acupuncture attempted as well.
Google Mary Shomon & you'll learn a lot. Other than that, I can't answer your question b/c I've never been pregnant.
See the thread below TSH levels and first RE appointment.
I think you should definitely get a second opinion from an endocrine specialist or an RE who is well-studied on thyroid issues. My last RE didn't even check my TSH levels, but on my first visit with my current fertility doctor she looked at my lab results and said, "I see your TSH is at 2.5. I'd like to get that down to around 1 in order to get you pregnant." Just more information for you to think with. Good luck!
goodmom2b- To get your Thyriod levels down to 1, did She put you on any meds? My thyroid levels is usually around a 2.1- 2.5 and I was wondering the same thing.
See medlineplus they say that Normal values are between .4 - 4.0 mlU/L http://www.nlm.nih.gov/medlineplus/ency/article/003684.htm
It must be so frustrating when your cycles are irregular and your battling symptoms of hypothyroidism already. I would definitely get a second opinion.
They also mention that if your being treated for a thyroid disorder your TSH level should be lower between .5 - 3.0 mlU/L
Have a look at this site http://thyroidtreatmentreviews.net/215/how-to-treat-your-hypothyroidism-symptoms-naturally/ there might be some information here to help.
good REs will tell you that your TSH needs be be around 1, no higher than 2 for fertility. those "guidelines" are just plain wrong!
I just learned I may be heading toward early menopause (I'm 32) because of untreated hypothyroidism. Not to scare you, but it's simple to treat, so I would encourage anyone who has concerns to make sure they follow up.
Sorry, I haven't checked my thread in a while! Well the recheck came in at 2.75 and I felt 'ok' with that and it was done through my PCP. I think I will mention it to my RE to see what his feel on it is.
Nefaline: No, she hasn't yet because I don't want to take medication except as last resort. Right now I am working with a naturopathic doctor who specializes in hormones to try to figure out what the underlying problem is and fix that, which should hopefully regulate my TSH without drugs. We will see!
Edowns88: Well, that was a big improvement! I think it is a good idea to check it with your RE. They will know what the right thing is for you to do in your specific situation. I can't help but notice the similarity in our situations. I've been married for 4 years, and we were not TTC but not TTA either for the first 2 years. Nothing happened. Now we have been TTC for real for the last 2 years and still nothing. I am also a chronic spotter (it is the WORST!) and I have a short LP most of the time. My TSH is at 2.5 so I am working on fixing that in hopes of getting that elusive BFP! Best of luck and lots of to you!
goodmom2b: Yikes, I wouldn't wish similar problems as me on anyone! Have you tried Clomid or anything with the RE? I was working with an acupuncturist for about 3 months and I never had a major change during that time. I believe I did have more energy, but everytime I'd have acupuncture during my LP, like clock work I'd start spotting the day after. Last month I quit doing acupuncture since we switched to an RE(I can't afford $65/acupuncture treatment plus the cost of the RE). I made it to 8 DPO before spotting which was a record for me since we started trying.
Good luck and I will continue to follow your progress! Let me know what other things you have tried!
My TSH came back two weeks ago at 4.3. I've been to 2 RE's recently to see who I liked best. One said he wanted it under 3 and the other said b/t 2 and 2.5 is ideal. 4.3 (or 4.55 in your case) is apparently in the allowable range unless you're TTC.
Yes, I spoke with my RE's nurse who said they are ok with it under 3, but prefer it closer to 2. She urged me to have my PCP order a free-standing T4 as well.
edowns88: Yes, I have been to an RE but I really didn't like him so I haven't been back. I haven't tired Clomid or anything like that yet. I did try acupuncture but just like you, I didn't notice any improvements and the first few times I started spotting right afterward, so I stopped. I loved getting the treatments, but couldn't justify the cost. Right now I am working with a naturopathic doctor to figure out what is causing the spotting. I usually start spotting around 6-8DPO, but I think I made it to 10DPO my last cycle, so that was a good sign! Good luck with your RE. Keep us updated if you fix your spotting!