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[quote=Anonymous]I agree with PP who has said to see an endocrinologist, not RE, to manage TSH when TTC and/or dealing with infertility, specifically to keep TSH below 2.5. I started with an RE last year who was only ~1 year out of fellowship and strictly adhered to a recently published Reproductive Medicine society practice opinion that said TSH doesn't need to be below 2.5 if there is no evidence of anti-TPO antibodies. I had my 2nd and 3rd failed natural conceptions while I was her patient and my TSH was between 2.6-3.0. I was really frustrated after the losses, did a LOT of research and reading, and came to the realization that there has been a lot of back-and-forth about the treat/don't treat TSH>2.5 stance between REs and endocrinologists in the last decade. I decided I had nothing to lose except my $40 co-pay to get a second opinion on my TSH from an endocrinologist. Two office visits, a thyroid ultrasound, and some bloodwork later, I found myself with a documented diagnosis for thyroid disease and a prescription for Synthroid...and we conceived for the 4th time about 2.5 months later, now in 2nd trimester. Could have been a coincidence (i.e., finally fertilized the 'right' egg-I'm AMA), but correcting my thyroid didn't hurt, especially since it should be <2.5 in first trimester anyway, and mine would very like not have been since it was higher than that every time it was measured over the previous year when I wasn't pregnant.[/quote]

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