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Old 03-11-2009, 07:21 PM   #1 (permalink)
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Default PCOS, Hypothyroid and Pregnancy....

Hi Ladies: I am new to the board and to soulcysters. I am worrying myself to death and thought I would post on here. A little background on me. I am 36 years old. I have a 15 year old daughter and an 8 year old son. I was diagnosed with severe PCOS in 2001 (ironically my son was a year old). I had severe insulin resistance, put on a ton of weight and then my thyroid went crazy and eventually that lead to radioactive iodine to destroy my thyroid which has now left me hypothyroid. I was remarried in 2007 and we just found out we are expecting our first child together (my third pregnancy).

I was told 2 years ago that I would need a hysterectomy because of the cyst issues on my ovaries but I didn't listen and kept seeking opinions and treatment. Thankfully, over the last two years and various cocktails of medication and vitamins, I lost 40 lbs, my insulin resistance is much better, and my thyriod has been somewhat stablized (although for the last year until recently was over active).

On February 12th I went to the doctor because I have been unable to get pregnant by just trying and they decided to put me on Clomid. The doctor told me to start taking it during my next mentral cycle. She also sent me for an ultrasound and confirmed that I still had the typical PCOS "follicles" all around my ovaries and that I should already be ovulating but according to the ultrasound I would be ovulating in 6 to 8 days. She said for me and my husband to try every two days starting in four days. Me and my husband tried twice during that time and was thinking it was just great practice.

Last Tuesday on March 3rd I noticed that cooking chicken made me gag and that my breasts hurt and I took four pregnancy tests and they were all positive. I could not believe it. I am so ecstatic. We thought we were in for the long haul. I went to my OB on Thursday of last week. They are going by my last mentral cycle which is wrong because I am very irregular. I believe my conception date was right around February 18th which puts me at 5 weeks. The same day I went to my OB, I went to my endocrinologist who tested my thyroid levels.

My endocrinologist called me yesterday and shockingly my TSH levels are 50. Normal is .5 to 5.0. She upped my Synthroid to 225 mcg and added Cytomel at 25 mg.

I called my OB and they agreed with what she did. I wanted to ask for an ultrasound but I don't know if I am being premature. But my thoughts are that I could be carrying twins because of my age and because there are twins on my husband's side of the family. If I am carrying multiples then the treatment regimine would change for my OB (as I would think they would send me to a high risk specialist) and my endocrinologist would have a better handle on how much thyroid medicine I need and how often to test my levels. I am scared to death of miscarrying. I feel so blessed in the way things happened and want to do everything I can for this pregnancy to be viable.

Should I call my OB and express concern for an ultrasound now? My first ultrasound is scheduled for March 26th. That is two weeks from tomorrow. I am experiencing some cramping but no bleeding which I know is normal. I am also very tired. I know these are normal things. I also have anemia and have problems absorbing vitamin D.

Thanks ladies for any feedback. I really appreciate it. I know I am being super paranoid.
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Old 03-11-2009, 07:57 PM   #2 (permalink)
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Ive never been pregnant so probably can't help too much but I'll try anyway:
from what I've read thyroid levels should be checked every trimester (whether single or multiple pregnancy) because they can change and your meds may need to be adjusted. As for the u/s I would push for it if it will make you feel better (b/c your stressing which isn't helpful for you) but I dont know that they will change your conception/due date until later in the pregnancy. Doctors seem to base everything on a 28 day cycle with day 14 of ovulation.........despite overwhelming evidence that very few people have that kind of cycle.

Hope I helped a little, congrats on your pregnancy and best wishes for a happy and healthy 9 months!
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