obgyn (or possibly RE) recs for luteal phase deficiency and Hashimoto's
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Anonymous
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Does anyone have any recs for an obgyn / RE familiar with luteal phase deficiencies and subclinical (i.e., 2.5 < TSH < 5) hypothyroidism?
My OneMed PCP doesn't really get this stuff, but isn't inclined to treat my Hashimoto's until/unless my TSH increases or I show symptoms. Which I'm inclined to agree with, except that I'm showing reproductive symptoms of low thyroid and don't particularly want to wait around a year only to be told that I needed to be on Synthroid the whole time. |
Anonymous
| I think any RE would be able to help you with this. They're very particular about thyroid levels. Definitely see an RE rather than an OB. You don't have to have known fertility issues to see one, either. (I had a TSH around 3.0 and the RE told me to take Synthroid). |
Anonymous
I had the opposite experience at SGF -- try just said to go to an endocrinologist if I was concerned about thyroid issues. OP, I saw Dr Priya Kundra at WHC. Got a lot of recs from this board but most were booking appts months out. (This was several yrs ago) |
Anonymous
I'm the PP. Should read "they just said" in the first sentence. |
Anonymous
PP here again. The place I went to was Columbia Fertility in Arlington. A regular endocrinologist could help, but it has to be someone that knows about thyroid and pregnancy, otherwise some won't prescribe Synthroid for TSH < 5. |
Anonymous
That's crazy. Their job is to know about hormones and fertility. |
Anonymous
I know. Mine was in the subclinical range like OP and my mom has a thyroid condition and had impaired fertility as well. But they were very uninterested at SGF. Interesting that other REs are more attune. |
Anonymous
| The Endocrinology Group in Falls Church are good for treating Hashimotos and fertility. They targeted me to a tsh of 1.0. |
Anonymous
I was prepping for an IVF cycle and my RE bumped my Synthroid dose up when my tsh was just over 2.5 just to humor me, I think. I ended up pregnant with my ds instead of doing IVF. Thyroid issues are not properly treated at all. You have to doctor shop and take care of it yourself. |
Anonymous
Thank you! This is OP. My TSH is around 3.0, or was this past summer. Did you have a referral from anyone? Or do you just call the office and see if they are taking patients? And once you were told to take hormones, your RE prescribed them and you just updated your PCP if you had one? (Sorry for the really stupid question, I clearly missed this day in life school) |
Anonymous
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As an update, I moved up my annual with my PCP (REs didn't respond to my calls)--TSH had dropped to well below 2 (antibodies had dropped as well), but my iron had dropped substantially. I think the drop was due to taking calcium supplements with my meals, and may have been causing some of the hypothyroid symptoms I'd been experiencing. My PCP disagrees because my numbers were all low-normal, but I don't know how up-to-date he is with female athletes (I'm quite active)/iron needs/TTC. He saw no connection between iron and a low BBT or short luteal phase (and I didn't find anything online), but maybe there's some connection between exercising while iron is rapidly dropping, or it is all unconnected and a very annoying coincidence.
As for the drop in TSH, I also started eating brazil nuts four months ago, and there is some indication that selenium can help if you have Hashimoto's. Or it was just random, too. Thank you all again for the advice! And if you take calcium supplements, don't take them at every meal!! |
Anonymous
| I can’t tell from your posts and also not sure what ‘quite active’ means but have you considered whether the exercise could be a factor underlying the luteal phase deficiency? https://pubmed.ncbi.nlm.nih.gov/12972877/ |
Anonymous
| CCRM Vienna is good for this too. (We like them!) |