If pregnancy thyroid function FT3 and T4 are both elevated, what should be done?

Patient's question:

Last April, I was five months pregnant and unfortunately experienced a miscarriage. On February 1st, I went to the hospital for a check-up on my vaginal discharge, which showed a fungus reading of one+. On February 17th, we had intercourse, and on March 8th, I discovered I was pregnant. In the past few days, I've had some coffee-colored discharge in my underwear. Today, I went to the hospital for tests, which included blood tests, blood sugar, early pregnancy tests, and a complete blood count. Only the thyroid function tests were abnormal; the other three were normal.
Here are the results of the thyroid function tests:
Free Triiodothyronine (FT3): Result 17.04, Reference Range 3.1-6.80
Free Thyroxine (FT4): Result 53.38, Reference Range 12.0-22.0
Sensitive Thyroid-Stimulating Hormone (TSH): Result 0.005, Reference Range 0.27-4.20
What should I do now? Will it affect the fetus?

Doctor's answer:

During pregnancy, radioactive iodine or surgical treatment cannot be used, so medication is the only option. However, some of the medication can pass through the placenta. Although there are no obvious teratogenic side effects, the principle of use should still be to use a small amount in a controlled manner to avoid affecting the fetus's thyroid function. Generally, doctors will advise women with signs of gestational diabetes to pay attention to keeping warm and avoid coldness. Additionally, patients should create an environment that promotes emotional stability and stress relief. Wishing the patient a healthy delivery.

📌 Related Posts