Can I have a child if my TSH level is high at 5.7 before pregnancy?

Patient's question:

Pre-pregnancy thyroid-stimulating hormone (TSH) level was high at 5.7. At the time, I was unaware and had a child. I started taking Levothyroxine on the 7th and later stopped trying for another child during ovulation, taking half a tablet of Levothyroxine daily. Today, the 24th, the test showed a weak positive. I want to ask, can I still have a child in this situation? How much Levothyroxine should I take if I get pregnant?

Doctor's answer:

Under normal circumstances, it is recommended to wait until the thyroid-stimulating hormone (TSH) levels return to normal before trying to conceive. Since you are already pregnant, it is important to pay attention to maintaining the pregnancy. Hypothyroidism may lead to miscarriage. Levothyroxine will not have any adverse effects on the embryo. Recheck your thyroid function and adjust the dosage of Levothyroxine based on your TSH levels.
The above suggestions are for the question "High TSH before pregnancy," and I hope they are helpful to you. Wishing you good health!

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