Hi! I just found out last week by blood test that I am pregnant.
I am a little worried because in January I had an early miscarriage before this baby. I also have Hashimoto's Thyroiditis as well as PCOS.
I have a doctor's appointment on April 13th... I am not able to go earlier because they are moving offices. Do you think I should try to call them and ask if I can get in earlier or should I just wait it out?
The reason I worry is because I have low progesterone normally from the PCOS (I am on progesterone cream right now) as well as I would like to see what my thyroid levels need to be to maintain this pregnancy.
Anyone have any advice? Am I worried for no reason? It it ok to wait until 7 weeks along or so for my first appointment?
Thanks!!
Get an appointment earlier if you can. The level of medicine you are on now will probably be fine for a while. I have no thyroid and take Synthroid. I didn't have to increase at all in my pregnancy. I got blood work for my thyroid levels once a month.
Given that you have a history of low progesterone I would at least ask for blood work to be done now to check your levels.
I have thyroid problems too and for a while "they" thought I had Hashimoto's disease, though in the long run I did not. I did though lose two babies early on and did not recieve testing until I began seeing a reproductive endocrinologist. He found that I had a low level of progesterone and put me on a high dose of Prometrium as soon as I got pregnant the third time. (Prometrium is a soft pill which I inserted vaginally. Very messy but worth it to carry the baby full term.) I got several progesterone shots too.
I did not see the RE after delivering my first son and with each pregnancy after that I was on the phone immediately, within minutes, of getting the little double lines, insisting on a Prometrium Rx from my family physician. I usually got the run around, because at this clinic you have to go talk to a nurse first, but I kept at it. I would usually have to leave a message with my doctor's nurse, who knew my history better than the person answering the phone, and could get a Rx within the day. If I were you I'd keep after them. Or go see someone else entirely.
Hi Laura,
Good question! I recently had a similar incident...not pregnancy...but finding lumps where they should't be. My regular checkup was 3 months away and I wondered if I should go as a walk-in and try to see my doc or just wait. I went online and found a doctor's site where you could ask questions and a doctor or nurse will respond with their recommendation.
Their website address is http://www.freemd.com. They respond pretty quickly. Why not give that a try? I'm not familiar with PCOS or Hashimoto's Thyroiditis so I can't be much help other than that.
Blessings and good luck.
W.
I have a thyroid problem and had a miscarriage in between children. My doctor did blood tests to monitor it, but I do not think it would make you mc. She told me it can mess up your levels during pregnancy. As for the progesterone., I had to take it during this last pregnancy because my levels were low. 2 weeks from now is not too long of a wait, but I would tell the nurse my concerns and try to get in. You can always see another doctor. Good luck to you.
If you carry the diagnosis of Hashimoto's, are you hypothyroid and taking thyroid hormone? if yes, you should call your OB and let her know, because thyroid hormone requirements increase in pregnancy. They should check your TSH level right away, which means all they need to do is send you a lab slip to go get your blood drawn. If you are NOT on thyroid hormone replacement, then you can probably wait until your first appointment. But they should check your thyroid levels at that time for sure ( which is usually done anyway). Your TSH levels should be maintained absolutely within normal range all through pregnancy.
BTW, Congrats on the pregnancy.
I can't say anything about the PCOS, but I know that my endocrinologist has me on somewhat higher thyroid hormones because of the pregnancy. My levels were in the normal range (barely) for most of my early pregnancy before I could get in to see him, and he was not very happy about that. I guess levels typically go up during pregnancy and sufficient levels are necessary for brain development among other things, so it's not really just about maintaining the pregnancy. Women with low levels tend to have lower IQ babies. There may be different ideas about what's best during pregnancy because my endocrinologist seemed to see a problem where my OB (and high-risk OB) didn't. Still, I'd advise seeing your endocrinologist to get your thyroid levels evaluated and adjusted as needed for pregnancy ASAP. My endocrinologist said he wished I'd come in before getting pregnant even. BTW, I wasn't even on thyroid replacement before pregnancy, but probably should/could have been given my borderline levels and symptoms (didn't know about the Hashimoto's before), so just because you aren't on now doesn't mean you won't be.
Congrats and good luck!
