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[quote=Anonymous][quote=Anonymous]Good question.  My experience with Shady Grove is that they don't pay attention to thyroid issues.  They never tested my TSH (they had my records showing I was on thyroid meds), and when I did get pregnant via IUI nobody at Shady Grove thought to mention I should get my thyroid tested right away.  Pregnancy often increases need for thyroid hormones from the very beginning.  Not paying attention to this can lead to miscarriage and pregnancy complications, so you'd think they'd be on top of it.  The weekend after my BFP I read about this online and frantically emailed my OB.  My TSH was already over 5 by the time I was 5 weeks pregnant.  Fortunately was able to get my thyroid meds adjusted, but this is no thanks to Shady Grove.[/quote]

Same experience here.  I have Hashimoto's, and I'm being seen by an endocrinologist who knows that I'm cycling with SG again (TTC#2), and he has requested that they run TSH with every round of bloodwork.  I pass the results along to him, and he adjusts thyroid medication accordingly.  
When I asked about this several years ago (prior to IVF for DC#1), I was told by one of the SG nurses that they would assume that any monitoring of TSH and changes to medication would be taken care of by whomever the prescribing physician was (i.e., your PCP, endo, OB, etc).  My new endocrinologist has stressed to me the importance of monitoring TSH closely while cycling (according to him, some of the medications can negatively impact TSH), especially immediately upon confirmation of a BFP.  I'm not sure how many women are aware of just how quickly TSH can rise in early pregnancy.[/quote]

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