Opinions are like glands. I’ve got lots of both.

So, my thyroid. Back at the end of last summer, among the bazillion tests Dr Expensive was gleefully ordering, my GP and I decided to recheck my thyroid, as the last test was taken in 2007.

So I got needled, as per, and then played telephone tennis with the nurse at the practice for a few weeks ending in a no-score draw, and then I forgot about it because Life. And then I saw my mother at New Year and the subject of her thyroiditis came up, and I thought oh! My thyroid! And I needed to refill my Metformin prescription anyway, so I asked the GP to just ‘fess up.

My thyroid, it is normal.

Seriously. TSH is 1.14 mu/L. Free T4 is 14.1 pmol/L. Given that reference ranges for ‘normal’ are respectively 0.4-5 and 10-23, this is very normal. Hell, the TSH is not only under 5, it’s under the magic 2 recommended for ladies attempting ensprogulation. So, dear internets, given that you’re cleverer than my doctors, is it worth having my thyroid antibodies tested, or is the fact TSH and T4 are perfectly fine finio fine fine?

Anyway, it sort of cheered me up.

And! H has found another doctor specialising in reproductive immunology, and has contacted him, and has made an appointment, and we’re going to see him on Thursday. For a 4th opinion! Which is not in the least bit weirding me out and making me sound neurotic as a bag of wet cats!

If he recommends medicated + Clomid DIY cycles ad infinitum, I will climb his freakin’ curtains and make him eat the pelmet.


10 responses to “Opinions are like glands. I’ve got lots of both.

  • Anonymous

    My thyroid levels are normal but my antibodies are through the roof. My doc put me on a low level levothyroxine because that’s said to prevent miscarriage in women with Hashimotos Thyroiditis (high antibodies). A recent study was done on this. I would most definitely do the test! I didn’t think that people with Hashimotos could have normal thyroid levels, but they can. Apparently it will kill my thyroid someday but the low level levothyroxine could keep it away for longer.

    • Meghan

      My antibodies are also through the roof due to Hashimotos and normal TSH controlled by levothyroxine, but my endocrinologist specifically said that the antibodies have absolutely no effect on fertility or maintaining pregnancy (asked after miscarriage). I wouldn’t bother.

  • a

    Well, it’s good that your thyroid is normal! Hurray for another opinion? I’m sure it will be interesting, and it’s always nice to have a person on whom to take out any suppressed rage.

  • manapan

    Your thyroid levels can swing around very quickly. My TSH has gone from 8 something to 1 something and back within a couple of months at times. I’d test the TSH and free T4 again.

  • Jenny F. Scientist, PhD

    Well, at least here it’s not very expensive, so… why not? Also what Manapan said.

    If you page down to “thyroid database” here, it says (of 761 patients studied) “47 (6.2%) [had] euthyroid autoimmunity (as defined by normal thyroid hormones with normal [0.45-4.12 ng/dl] TSH but with cytological Hashimoto’s diagnosis”. So I suppose it does really happen (the thyroid is screwed up but hasn’t quite gotten the message yet).

  • Valery Valentina

    yep, get tested for thyroid antibodies as well. My TSH was normal (5) but I was also positive on the antibodies. And then got 3 extra pill flavours during the IVF. Not every country or doctor will recommend the Prednisolon (Spain and US yes, NL no)
    Now I’m only taking thyroid medication, and the gyneacologist recommended I see an internist this spring to find out if it was only antibodies preventing me from getting pregnant or if my “thyroid is screwed up but hasn’t quite gotten the message yet”

  • Anonymous

    I get it that wonky thyroids can be nasty infertility culprits. But they aren’t always. It is good news that your thyroid is working as well as it is, even if you test positive for antibodies (I am utterly f*cked regarding Hashimotos antibodies as well as TSH, T3, and T4 if not medicated, and carried two healthy pregnancies to term). But when you do get pregnant May, be sure that your thyroid is tested regularly in the early stages of pregnancy if there is any history of thyroid problems in your family, as pregnancy can bring these things out to the fore. A positive test for antibodies before pregnancy will alert your doctors to this more frequently, but even if it is negative, I would still push for tests during the pregnancy itself. You probably know that the thyroid matters most in early pregnancy, and your levels can change a lot from week to week. Even though I was on low-dose thyroid meds while pregnant, I wasn’t tested often enough during the first trimester and didn’t realize that my absolute utter exhaustion was related to a depleted thyroid. By the 4th or 5th month I felt wasted, and that was the first time my medication was readjusted. Which, was rather late, and of course I was thinking, “Cretenism! What have I done?” I was much more on top of this issue on pregnancy #2 and was spared those debilitating waves of exhaustion. (Both babes turned out fine, by the way. Or fine enough, seeing as I don’t have others to compare them to).

  • Elizabeth :: Bébé Suisse

    Another vote for testing for the antibodies – if you have reason to believe that you have hypothyroidism (but it doesn’t seem like it according to your wonderful TSH and T4 test results?). Contrary to Meghan’s endocrinologist, mine believes that thyroid antibodies do have an effect on fertility, miscarriage, etc. Unfortunately there’s nothing that can be done about them, but hey, at least you would know, right ……..?

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