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After reading Shirley’s comment, I would like to add one more Dr. to consult, if you haven’t yet, a Reproductive Endocrinologist (RE). A RE can tell you how things are looking with your fertility and about how long he recommends waiting. A woman’s age doesn’t always go hand in hand with her fertility.
Caro
goodfriendjen,
Hello. You are welcome. We hope that with all of these information you can make the best decision for you.
As for the remission statement from your Dr., did she want you to push back the TT because she thinks you might go into remission or because of something else? Did she think that you might go into remission because as you mentioned, your thyroid #s are in range? I personally think that the TSIs being at 300 are a concern and is unknown when they will reach a normal range (I have heard that the lower and closest to 0 the better if within normal range before stopping Rx). Maybe she has seen patients whose TSIs get lower when the thyroid #s are in range. These, I believe, are things to ask your Dr. so that you can get an idea as to how he knows that you might go into remission.
I think that it is fair to say that anyone who has started responding positive to the medication “might go into remission” because it is a vague statement.
It is unfortunate to be hit with GD right at a time when you have plans that some times are harder to achieve if more time goes by (pregnancy in the 30s). I personally think that the health of the woman is very important before pregnancy can be achieved, carried for 9 months, and be there ready to take care of a new life. Your health should be your priority at this moment because once you gain your health back and are stable on it, you can proceed with a pregnancy. I know, time is of the essence. I think that you, your husband, and your Dr need to sit down and go over everything again. What does she mean by “might achieve remission”? Is there a formula she is using to know how long before then? (I doubt it). Can you wait that long? Are you willing to go through surgery, RAI? When a difficult decision is in your way, a wise man once said, take a look at yourself years from now and decide what you will be able to live with and live without.
So my question to you is, what can you live with and what can you live without when it comes to this situation? Have backup plans also because things don’t always go as planned. Get statistics and #s to make sure you know your odds.
When it comes to parenthood, there are many ways of getting there. Also, as some will tell you, pregnancy is achievable with stable GD so there is hope for parenthood one way or another …. just a thought.
Caro
P.S. The billirubin is liver related and Methimazole can some times cause liver problems. A liver panel, AST/ALT levels can show if your liver is being affected.
gatorgirly wrote:My endo only ticks off the TSH and T4 boxes when he sends me a lab slip every six weeks. I always check off T3, too.I have been temped to do this also. Finally my Dr. ordered free T3s on his own for next labs. I’m glad he did b/c I was going to mention it. I didn’t mention it last time because I got him to run TSIs. Some times I feel like I’m playing a game of give and take
It is good though that your Dr. thinks that you might be on the road to remission. That is really good news.
