A 31-year-old woman with hypothyroidism is 6 weeks pregnant. She takes levothyroxine 100 micrograms daily and has TSH 6.8 mU/L with free T4

Question

A 31-year-old woman with hypothyroidism is 6 weeks pregnant. She takes levothyroxine 100 micrograms daily and has TSH 6.8 mU/L with free T4 low-normal. What is the most appropriate management?

Accepted Answer

Increase levothyroxine dose and monitor TSH during pregnancy

Answer

Radioiodine scan in first trimester as the next step

Answer

Stop levothyroxine until after delivery as the next step

Answer

No action until postpartum as the preferred next step

Answer

Start carbimazole as the preferred next management strategy

Hypothyroidism in pregnancy — SCE Endocrinology MCQ

A 31-year-old woman with hypothyroidism is 6 weeks pregnant. She takes levothyroxine 100 micrograms daily and has TSH 6.8 mU/L with free T4 low-normal. What is the most appropriate management?