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Re: Miscarriage and Thyroid disease

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Thu, 30 Sep 1999 17:52:44 -0500 (CDT)


At Wed, 29 Sep 1999, Kelley wrote: >
>I am a 26 years old and just lost my baby at 11 weeks. Now I am also a
>OB nurse and work in an OB office. I want to believe that this was just
>some "bad Luck" a chromosomal anomaly and thank god for my beautiful
>three year old son. However I have been reading some mixed opinions
>about thyroid disease and their relationship to miscarriages. Six
>months ago I was diagnosed with hashimoto's thyroiditis. My TSH levels
>are still low at 0.25 and my antimicrosomial antibody level is at 14. I
>am just curious as too your opinion on thyroid problems and pregnancy
>and the treatment of baby asa daily to prevent. Any feedback would be
>appreciated. Thank You

Hyperthyroidism from any cause can increase the risk of miscarriage. The antimicrosomal antibody (or the antithyroglobulin antibody) are associated with autoimmune disorder and many of these are treated with Baby Aspirin. The notable ones are anticardiolipin antibody, Lupus anticoagulant and antiphospholipid antibody. I am not aware of a treatment regime for Hashimoto's. I have cared for many patients with Hashimoto's and have never had the need to treat them with Baby Aspirin.

The thing to do is get the TSH in the normal range, if possible (which I know you know).

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private emails cannot be entertained due to time constraints, consequently no private emails will receive a response.

**Thank you for your understanding ;-)






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