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Friday, 3 May 2013

Hypothyroid

It’s been a while since I posted and I really don’t have an excuse other than to say that life is good and I’ve been busy. Summer has finally started showing its face and we’ve been busy enjoying time outside in the sun. We also had a little road trip to Toronto this past weekend to visit family and had such a great time catching up and watching our kiddos play.
 
Anyways, I thought I’d catch you up on our, dare I say adventure, to having baby #2. Way back at the beginning of April, I had my hysterosonogram appointment and it went well. The procedure took all of one minute and in a lucky twist of fate, my doctor just happened to be on call to do it. When he had finished up, he asked when my follow-up appointment to review all the test results had been scheduled and I replied that it wasn’t until May. He then told me I was his last appointment of the day and that he’d review our results and give me a preliminary report right then and there. Score! As he was looking over our blood work results, he suddenly stopped and said, “I think I have good news for you. It looks like your problem may be your thyroid.” I knew my thyroid had been off before but I didn’t think it was ‘the’ reason I couldn’t maintain a pregnancy. The ‘normal’ range for TSH (thyroid stimulating hormone) is between .03 and 3. Mine is 8. The higher the TSH, the lower your thyroid is. Confusing, right? Let me take a moment to explain.
 
Hypothyroidism is a condition when your thyroid gland doesn’t produce enough thyroid hormones. The pituitary gland produces a hormone called TSH (thyroid stimulating hormone) that signals your thyroid gland to produce T3 and T4 hormones. When your body isn’t getting the necessary T3 and T4 hormones the pituitary gland needs to sends out high amounts of TSH to stimulate the thyroid gland. Clear as mud? During pregnancy, the embryo/fetus relies solely on the mother for thyroid hormones so the mother’s body needs to produce more than the usual amount of hormones to supply both herself and her baby. Women who have hypothyroidism and become pregnant run the risk of miscarriage, preterm labour, pre-eclampsia and birth defects. Yikes. 
 
My doctor suspects that my miscarriages were likely due to low thyroid and he wrote me a prescription for Synthroid 0.75mg. I’ll have my thyroid retested at my follow-up appointment to see if my thyroid is regulated at that dose of if it needs to be readjusted. I will need to take thyroid hormone replacement for the rest of my life. It’s not really a big deal; just one tiny blue pill every morning. I don’t want to get my hopes up but I can’t help but be excited for my follow-up on May 14th. Mentally I’m ready to try again I just hope my body is physically ready too. 
 
While I try to stay positive about the whole thing, I find myself sometimes thinking ‘what if’. What if I hadn’t miscarried back in September? I would be getting ready to meet my new baby. I would be feeling my baby’s kicks. I would be folding tiny sleepers and packing my hospital bag. I know I shouldn’t live in a world of what ifs; that in the grand scheme of things it wasn’t my time for another baby, but I can’t help that my mind slips there from time to time. My doctor assures me that I’ll have another baby and that he’ll find a solution. I’m hopeful he will but in the meantime I’ll enjoy the baby I have; my sweet, mischievous, independent and lovely baby girl.

 
xo, Vicky
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