'Subclinical hypothyroidism' and pregnancy

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If the ob/gyn should be paying extra attention, how do I go about suggesting this without looking like a creep?

BACKGROUND

I'm a 37-year-old woman having an easy pregnancy. But, at 6 weeks post-gestation, I had a TSH test. The result was 7.7.

Had a retest at week 10 and got a TSH of 6.03, and a Thyroid Peroxidase AB thyroid antibody result of 31.8 IU/mL.

Several studies say a maternal TSH over 5 correlates with a decrease in the baby's IQ.

Two ob/gyns have told me the TSH results don't matter, and that they don't know what a Thyroid Peroxidase AB test was.

Are the ob/gyns shrugging off the thyroid results because ob/gyns disagree with endocrinologists about the importance of moderately high TSH readings?

If not, and the problem is that the thyroid study news has been slow to spread, should I try to tell the doctor about the papers? Or should I assume that any thyroid-related damage is already done and keep my mouth shut?

- allbell@vnet.net

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