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How to manage hypothyroidism during pregnancy?

Q: I am 27 years old and 3 months pregnant. I am a thyroid patient with TSH level of 0.053. Presently I am taking 50 mcg Eltroxin tab. I am worried whether taking thyroid tablet during this period is safe and what care should I take during pregnancy with thyroid disease? How often should the thyroid tests be done? Will the development of the fetus be absolutely normal or should abortion be done? Will I be normal and does it take a long time to normalize thyroid function? Please also let me know the causative factors for this as it is not a hereditary disease.

A:The TSH level you have mentioned is very low and your thyroxin dose should be reduced. However, you have not clarified when the TSH was done and since when you have been taking the Eltroxin. If you are hypothyroid then thyroxin is a must during pregnancy, of course in the correct doses, i.e. maintaining the T4 and TSH levels within the normal limits. You will need to repeat the TSH along with T4 after 4-6 weeks of reducing the dose and then repeat T4 and TSH every trimester. The baby's cord blood should also be tested for T4 and TSH at the time of birth.

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