4. Pregnancy vs Hypothyroid

I’ve been treated with hypothyroid for a while. To some people, it’s nothing big. The same thought I had before. I didn’t know there is hypothyroid and hyperthyroid even. So I’ve been having maternity checkups with multiple doctors. And most of the time, they’re all really concerned about the hypothyroid that may affect the baby. Even my pink book had a yellow tag which means quite risky. 

I don’t have all the symptoms tho, only a few: fatigue, increased sensitivity to cold and emotional unbalanced. Most common questions were: do you gain weight, do you feel something when you swallow, is your thyroid gland enlarged, do you feel slower or have impaired memory. I didn’t feel any of that. I feel quite normal actually.

Here’s all the symptoms, to those yang rasa ada symptom2 tu cepat2 pergi check ya. Takut affect the baby </3

I took the first thyroid test during my early pregnancy which I didn’t even know I was pregnant at that time. My TSH was 5.4 which was above normal (0.2-4.2), and my T4 was within normal range. About after 2 months consuming the prescribed medicine, I took another test as requested by my Gynae. Shockingly, my result was stable and normal. My TSH was 0.3! So this is where all the fuss comes.

Most of my maternity checkups have been about updating my thyroid condition. But what annoyed me was that each Gynae had their own theory which contradicts one another. Some say I should stop taking the medicine right away, some say it may affect the baby where I shouldn’t breastfeed them, some say it will affect my milk production, some say I shouldn’t stop taking the med, some say I have to take the med for the rest of my life and some say that I should be taking another medicine that is safe for pregnancy. Case ni pelik sangat ke that they don’t encounter this kind of situation before? Why is it so hard to come to a final decision that is tally and agreed upon all parties?

So I decided to refer to the specialist, for once, to get the right and final answer to all the questions. At this point, I’ve lost track on how many blood samples I’ve given, not the kind of small test tubes we normally see, but big ass blood test tubes! With every injection left a blue-black bruise that lasted for about 2 weeks. I only found out that the bruises were due to my small vessels and the use of big needle so the blood won’t freeze. That’s why I normally leave Klinik Kesihatan KJ with pretty bad bruises. But at Hospital Sg Buloh, they acknowledged the situation and used a small needle instead. The most pain-free injection ever :)

I’ve been assigned for a Combined Clinic that I need to foresee a Gynae and Hypothyroid Specialist. The process took about half a day, longer than I expected. I had to reach at the Hospital at 730am to take a number, to see a Gynae at 830am and wait another 4 hours for the Thyroid Specialist as they need to attend to their patients first then only see us at the Combined Clinic. It was tiring but I finally got the answer I deserved.

The specialists asked me to continue to take the medicine, the one I’ve been taking, with the same dosage. There is no such thing as another safe medicine for pregnancy. It’s the same med, only differs at dosage. There's also a possibility that I got hypothyroid due to pregnancy as well. So fred not, just take the med until give birth. About 6 weeks after delivery, take another thyroid test. If the result and my hormone are normal, I can discontinue the med until the next pregnancy where I need to take another thyroid test whether I should be taking the med again or not. Most importantly is the continuous medical treatment for the mommy in order to protect the baby. It won’t affect the milk production, breastfeeding or whatsoever.
 
Here’s some diet plan for hypothyroid that korang boleh ikut :)



Yours truly,




CONVERSATION

Popular Posts