Hyperthyroidism Postpartum

Tiffanie - posted on 12/07/2010 ( 3 moms have responded )




Thyroid disorders run in my family. I have a 7 month old son and my thyroid is way out of whack. Because of my "recent" pregnancy my endo seems to think that I have PPT (postpartum thyroiditis). I have researched this and PPT goes from hyper to hypo and I thought if this was the case, with my sons age, I would be in the hypo stage by now....also I have no inflammation which I'm pretty sure would be required for a thyroid-ITIS diagnosis. These are my labs so far:

About 2 months ago my midwife had my TSH tested because I suspected thyroid problems: TSH .02

She referred me to my primary dr.

About a month later at my appt with my primary, he ran labs and assumed it was PPT referring me to an endo. Those labs were: TSH .01, FT3 10.0, TT4 14.4

Another month later I saw my endo who again thinks its PPT and sent me for labs and the results were: TSH .006, FT3 6.7, and FT4 2.26

I don't know if I should listen to my endo or go to yet another dr. Does this sound like PPT or Graves or something else? My biggest complaint is the extreme fatigue because I fall asleep driving...most of the way to work not a little nod here and there. I do have other symptoms though....palpitations, lose breath easily when carrying son or climbing stairs (I've lived on the 3rd floor for years and this shouldn't be an issue), also emotional side effects like anxiety, crying spells due to overwhelming stress, and being confused (I missed the date for my midterm and got a zero which caused me to fail the class all because I mixed up the date). I have other symptoms as well these are just the most noticeable.

Please help! Let me know if you need any more info as well...and thank you!

P.S. I think I was a little unclear about the dr thing. I know I need an endocrinologist. I just don't know if I should find a new one because I feel like no one is willing to help me.

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User - posted on 06/23/2012




Dear Tiffanie

I feed your pain, i have just been diagnosed my baby girl is 14 weeks old x

How did you get on, i am extremely scared and dont know whats going on xxx


Iridescent - posted on 12/07/2010




You need an endo. Your first lab is truly worthless, as it wasn't done in conjunction with the T3 and T4 levels, so you can't tell what the problem is. Your second set is valid and shows hyperthyroidism with TSH counteracting it by dropping output from the pituitary gland (negative feedback system, means the pituitary is working). The third set shows the pituitary dropped back TSH too far for too long and you became hypo as a result. So this indicates you are cycling. You can't diagnose anything when it only shows 1 set of a cycle, so you need to have a follow up and find the cause, possibly with something such as a thyroid uptake test or a thyroid ultrasound.

Cheryl - posted on 12/07/2010




Stay with an Endo. As one who has survived thyroid cancer Ive found a good Endo very valuable.

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