Subclinical TSH levels and successful IVF or FET?

Anonymous
My TSH after my failed fresh transfer was 3 and then 2.5 weeks ago it was 2.7 and I’ve been since taking increased dosage of synthroid - has anyone had subclinical hypo and had a successful FET or a fresh transfer?
Anonymous
Yep. My TSH was 2.9. They did a FET and never treated my thyroid. Almost 25 weeks pregnant. I should add I got my TSH tested a few weeks into pregnancy and it was down to 2.12.
Anonymous
Yes. My TSH levels were roughly the same for my first FET, which was a successful transfer. I was followed very closely throughout pregnancy and my dosage of levothyroxine adjusted accordingly. Are you seeing an endocrinologist, OP?

I'm pregnant again and seeing an endo for the thyroid issue (Hashimoto's). He insisted I come in as soon as I got a positive pregnancy test, and he adjusted my medication immediately. I'll have to be checked every 4 weeks, assuming this one sticks.
Anonymous
Thanks to the PPs above. I am not seeing an endo outside of my RE but I might consider it. I find most tricky that I have to take estrogen during my FET which is exactly what increases TSH but after the transfer and after stopping estrogen it seems to come down so I want to find the right dosage for during the live treatment phase.
Anonymous
Anonymous wrote:Thanks to the PPs above. I am not seeing an endo outside of my RE but I might consider it. I find most tricky that I have to take estrogen during my FET which is exactly what increases TSH but after the transfer and after stopping estrogen it seems to come down so I want to find the right dosage for during the live treatment phase.


I'm the PP with Hashimoto's. My levels were also affected by the estrogen. My endocrinologist actually requested that I ask my RE to draw blood and check TSH at every blood draw during my FET cycle. I was with SGF, so I had the nurse post those results to their portal, and I would download and forward on to my endocrinologist. I assume you know that, if you get pregnant, that alone can cause your TSH level to climb. If I remember correctly, I think my RE ran TSH bloodwork 3 times during my FET cycle.
Is your RE the one who prescribed synthroid, or is that handled by your PCP?
Anonymous
Anonymous wrote:
Anonymous wrote:Thanks to the PPs above. I am not seeing an endo outside of my RE but I might consider it. I find most tricky that I have to take estrogen during my FET which is exactly what increases TSH but after the transfer and after stopping estrogen it seems to come down so I want to find the right dosage for during the live treatment phase.


I'm the PP with Hashimoto's. My levels were also affected by the estrogen. My endocrinologist actually requested that I ask my RE to draw blood and check TSH at every blood draw during my FET cycle. I was with SGF, so I had the nurse post those results to their portal, and I would download and forward on to my endocrinologist. I assume you know that, if you get pregnant, that alone can cause your TSH level to climb. If I remember correctly, I think my RE ran TSH bloodwork 3 times during my FET cycle.
Is your RE the one who prescribed synthroid, or is that handled by your PCP?


Thanks again. My RE prescribed the synthroid to me and i wish he had ordered TSH for each blood draw. If I may ask by how much did you increase your dosage during your FET and after getting pregnant?
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Thanks to the PPs above. I am not seeing an endo outside of my RE but I might consider it. I find most tricky that I have to take estrogen during my FET which is exactly what increases TSH but after the transfer and after stopping estrogen it seems to come down so I want to find the right dosage for during the live treatment phase.


I'm the PP with Hashimoto's. My levels were also affected by the estrogen. My endocrinologist actually requested that I ask my RE to draw blood and check TSH at every blood draw during my FET cycle. I was with SGF, so I had the nurse post those results to their portal, and I would download and forward on to my endocrinologist. I assume you know that, if you get pregnant, that alone can cause your TSH level to climb. If I remember correctly, I think my RE ran TSH bloodwork 3 times during my FET cycle.
Is your RE the one who prescribed synthroid, or is that handled by your PCP?


Thanks again. My RE prescribed the synthroid to me and i wish he had ordered TSH for each blood draw. If I may ask by how much did you increase your dosage during your FET and after getting pregnant?


PP here. With my FET, I went up from 50-75mcg. Now that I am pregnant, I’ve gone from 75 to 88mcg.

I got through my first pregnancy with only one dosage adjustment, but I’m older now and my thyroid seems less stable, so I’m expecting to have to adjust again.
Anonymous
Yes I have had a successful pregnancy with a similar level.

The first was a FET - resulting in twins. They are 4 now.

I saw an endocrinologist during the pregnancy as well
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