When do you check thyroid levels? Often we forget that an endocrinologist does exist. Therefore the obstetrician checks for thyroid after inception. Is it right? It is wrong because the organogenesis takes place within three weeks of gestation and the vital organs are developed. What is the right way of checking? Immediately before marriage or at least immediately after marriage. The womb of the mother to need not only her thyroid profile but also her hormone profile.
What do you aim for? A mother to be should have thyronormalcy. What do you screen for? Subclinical hypothyroidism What do you want to achieve in pregnancy? If conceived the patient should aim/physician should target TSH less than 2.5. What is the take home message? Achieve thyronormalcy before inception and TSH less than 2.5 IU/l at/near inception. Share your views.
