I am Married, having hypothyroidism since 2004, we are trying for baby for past six months , my recent tsh level was 8.3microIU/ml, and dosage 50 mcg, In order to conceive should I need any extra dosage? And is there is any optimum level of tsh for conceiving? Why I am not able to conceive? Kindly help me out with your suggestions.

Dr. Prabhakar Laxman JatharEndocrinologist46yrs exp

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Hello lybrate-user, hypothyroidism if not well controlled will affect conception negatively. Recommended tsh levels before conception is about 2 mu/l. Similarly during pregnancy too following levels are recommended 1st trimester 0.1 to 2mu/l, 2nd trimester 0.3 to 3 mu/l & 3rd trimester 0.3 to 3.1 mu/l. These levels ensure better fetal development and healthy out come of pregnancy. So even before attempting for conception please see that tsh level is brought down to the above mentioned range. Thanks. 

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