Hi I have hypothyroid since 2000 but I used tablets upto 2014 and then stopped and now am planning for pregnancy. So when I have done thyroid test in December 2017 I got the result (TSH) to be more and any it became normal till May 2018 and then after I have done the test again on September 10 and I found TSH to be 59.63 And the other thing is that from Dec 2017 I have been experiencing irregular menses also and when I went doctor she told me that now am spotting. So what should I do now. Help me!

Dr. Prabhakar Laxman JatharEndocrinologist47yrs exp

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Hello, Thanks for the query. Madam once you have been diagnosed to have hypothyroidism and were asked to take Levothyroxine in specific dosage, then that should have been continued. Hypothyroidism is a hormone deficiency disease, where your thyroid is not producing enough or nil thyroxine. This is an essential hormone for day to functioning of various important metabolic activities and brain. So the treatment is for lifetime. I am surprised that you have discontinued the treatment. That has caused the excess increase in TSH. It should be maintained around 3 to 4 mU/KL to remain free from all the symptoms. High TSH affects menstruation and ovulation. Since you are interested in having a baby, then it is absolutely essential to restart the treatment immediately. For pregnancy to occur TSH has to be < 2 mU/L and through out the gestational period value has to be maintained around 2 mU/L, for proper fetal development, as well as for desired out come of pregnancy. If you have any doubts please come back. Thanks.  

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Dr. Pramod Kumar SharmaEndocrinologist38yrs exp

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Start taking thyroid hormone supplement under supervision of a Physician or Endocrinologist. Monitor dose by regular estimation of TSH. Normal thyroid status is must for getting pregnant, sutaining pregnancy and normal development of fetus.  

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