A member asked:

Tsh is 4.78 & t4 is 1.31 in after 4 week of embryo transfer?

6 doctors weighed in across 2 answers
Dr. Khurram Rehman answered

Specializes in Fertility Medicine

Start Levothyroxine: Ivf increases estrogen levels which increases your thyroid hormone requirements. High TSH may be associated with worse pregnancy outcomes. I recommend starting thyroid medication (levothyroxine) with a target TSH of less than 2.5 during pregnancy.

Answered 10/24/2017

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Hypothyroid: Depending on the normal range of the values of the lab the numbers that you present are consistent with clinical hypothyroidism. You would benefit from being treated with synthroid (thyroxine) therapy.

Answered 3/14/2019

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