At the stage of planning pregnancy with hypothyroidism, it is necessary to determine the concentration of TSH, if necessary, adjust and bring to normal (less than 2.5). As soon as pregnancy is confirmed, the dosage of levothyroxine preparations is increased by 30-50%. For example, if at the planning stage a woman takes Eutirox at a dose of 100 mcg, then the required daily dose is 150 mcg. After delivery, the dose is reduced to the initial one, which was at the stage of planning pregnancy. During pregnancy, TSH control occurs at intervals of 4-6 weeks .
What you need to know about the thyroid gland during pregnancy
- The starting point for diagnosing thyroid disease during pregnancy is the TSH level.
- Ultrasound of the thyroid gland is performed only if indicated.
- When prescribing Iodomarin, the daily dose is 200 mcg per day, unless the doctor has prescribed it otherwise. You need to take the drug throughout pregnancy and lactation. If you are relaxing at sea, the drug is temporarily canceled in consultation with the doctor.
- If L-thyroxine ( Eutirox ) was prescribed , no experiments with dose and frequency of administration should be performed.
Features of the treatment of the thyroid gland during pregnancy
L-thyroxine is taken on an empty stomach, at least 30 minutes before meals. If you take the drug after breakfast or just before eating, the required dose will not completely enter the body. This is an identical hormone produced by the thyroid gland; it does not have a negative effect on the digestive organs.
If you are taking multivitamins for pregnant women in parallel , then they need to be rescheduled for a later appointment: in the afternoon or in the evening. Calcium or iron salts will interfere with the absorption of Eutirox .