Hashimoto's thyroiditis is not a reason to avoid pregnancy . However, some women with Hashimoto's thyroiditis do have trouble conceiving. In addition to careful obstetric care, management of thyroid hormone replacement by an endocrinologist is helpful. Before conception and during pregnancy, levels of thyroid hormones need to be monitored and optimized by checking TSH levels, and if necessary, adjusting the medication dose. The target goal is usually within the range for nonpregnant women but at the higher end of the normal range.
Patients have learned that Hashimoto’s is not a condition you let take its course (as some doctors will recommend), but that you treat with desiccated thyroid, or at the very least T3 added to your T4. See the Things We Have Learned page. And during that treatment, you raise according to the elimination of symptoms, not labs. And if a doctor tells you that your Hashi’s is “mild”, yet you have a sore throat, swollen neck, or the sensation of “wow” one time, and “whoa” another, you are much farther along in the attack than you know! Also take the time to learn of gut problems you may need to address.
If you are a health care practitioner and would like a more detailed, larger format of the thyroid book slide show, please contact us.
What your doctor hasn’t told you about hypothyroidism, and what you need to know