What should I do if a pregnancy test shows high thyroid-stimulating hormone?

Patient's question:

In the early stages of pregnancy, a thorough check revealed high levels of thyroid-stimulating hormone (TSH). The initial TSH test result was 4.4. After taking (Levothyroxine) for half a month, the TSH level dropped to 0.948. After taking the medication diligently for one month, the TSH level further decreased to 0.28. Later, after stopping the medication for about 10 days, a test at 15 weeks of pregnancy showed a TSH level of 2.0. Now, at 22 weeks of pregnancy, it has been 44 days since the last dose of medication. Today's test result is 1.4. Should I continue follow-up testing and how often should I get tested?

Doctor's answer:

According to the situation you described, it is recommended to have a follow-up checkup about a month later. If the thyroid hormone level is high, it may cause certain interference to the fetal growth and development if you are fully responsible for taking oral medication. The above suggestions are for the question "High thyroid-stimulating hormone detected in early pregnancy." It is hoped that it will be helpful to you. Wishing the patient a speedy recovery!

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