[cazzapop]

#1060515

Hello,
I have not been on here before but i am glad i have came across your site today when researching my situation….
my thyroid has been pretty well controlled until recently and i have a long history dealing with being hyper.

I need some advice about being pregnant and hyper. I am currently 6weeks pregnant, only found out last week!

I have been off and on carbimazole since summer 2006 when my son was 6months old. I have been in remission before,the longest being about 18months. Had 2 toxic episodes triggered by viral infections/flu. Been in hospital with pulse 140and ft4 of 41 at highest. Latest spell has seen me on gradually reducing carbimazole since December 2010. Was just about to reduce to 2.5mg when i suspected i had fallen pregnant.

Anyway, my labs from 28th July showed Ft4 @ 13.8 and tsh 0.03 not sure of reference ranges, think it used to be 9-21 for ft4.

My labs from this week has ft4@27.

In the past 5-6weeks, since start of pregnancy, if dates are correct, it has risen quickly. Is this normal for pregnancy?

In terms of symptoms i have been feeing awful for past 10 days. Extreme nausea and morning sickness, only to be expected but i now have tremors, no power in thighs, can’t stand or climb stairs, feel like going to pass out, can feel my neck or thyroid throbbing as well as my arms tingling!

I have had similar symptoms years ago and had to be admitted to hospital with my previously mentioned fast resting pulse. My pulse rate currently is between 83-95.

What should i do? My endocrine consultant has recommended to take 20mg carbimazole and bed rest. She advises it is still early days and anything could happen….

I am scared and worried. Have i done a dangerous thing by getting pregnant ?

Is it possible to have a successful full term preg with graves?

I have read so much online but I’d prefer to hear directly from people in the know who have knowledge and experience.

Apologies for long post but i am at my wits end with worry and wad nearly going into hospital this morning i felt so bad.

Thanks all,
Carol
From Scotland

[Kimberly]

#1183064

Hello – We do have a number of posters here who have had successful pregnancies while taking anti-thyroid meds, but it’s extremely important to make sure that your thyroid levels are monitored throughout your pregnancy.

I’m guessing that you are overseas, as methimazole/tapazole are more commonly used in the U.S.. The guidelines here recommend testing levels every 2-6 weeks throughout pregnancy.

It’s actually common for TSH to be suppressed and for T4 to be higher than normal during pregnancy. However, it’s important that you work with a specialist who can help you sort out what “normal” is for YOU.

It’s also common for women to find that they need to decrease their dose of anti-thyroid meds (like Carbimazole) as the pregnancy progresses. If you do end up being able to go off the Carbimazole completely, pay attention to your symptoms post-pregnancy, as hyperthyroidism can recur.

U.S.-based guidelines also recommend testing antibodies at the 20-24 week mark. If antibodies are extremely elevated, the involvement of a specialist is recommended, due to the small risk of passing antibodies on to the fetus.

Hopefully, others here will chime in with their experiences as well.

Take care!

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