Is it necessary to take medication if TSH is high at 38 weeks of pregnancy?

Patient's question:

Pregnant 38 weeks Checked serum TSH at Dongfang Hospital in Guangzhou TSH is high

Doctor's answer:

Hello, if medication is necessary, based on your situation, the main risks are to the pregnant woman and the fetus. For the pregnant woman, there are risks such as postpartum infection, polyhydramnios, and diabetic nephropathy syndrome. For the fetus, the risks include an increased incidence of macrosomia, higher rates of fetal malformations, and hydrocephalus, among others.