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Thyroid and Fertility


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#1 DrFionaMcCulloch

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Posted 15 January 2010 - 10:24 AM

Hi everyone,

I know a few of you were asking about thyroid conditions recently. I just posted a new blog article on the thyroid with relation to fertility so I thought some of you might be interested.


wishing you all the best,

Dr Fiona

http://drfionamccull...idandfertility/
Dr. Fiona McCulloch, BSc., ND : Naturopathic Doctor, Integrative Women's Health & Fertility
White Lotus Integrative Medicine
Greenfield Ave, Suite 201
North York, Ontario, M2N 3CBCanada
phone (416) 730-8218



 
 

#2 kerrilyn

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Posted 15 January 2010 - 11:17 AM

That is a great source of info. Thanks!
Me (Kerri-Lyn) 41, DH (Steve) 37, TTC since April 2007Unexplained IF (possibly crappy eggs, AMH 10.4 = poor responder) - HSG, SHGx3, Lap, Cycle Monitoring, Recurrent loss bloods, EMB, Karyotyping, DNA Frag - all normal! 7 IUI's, 2 cancelled IVF's, 3 complete IVF's, 1 FET, 2 clinics, 1 early miscarriage, lots of debt, lots of heartache, lots of tears. We rolled the dice and got lucky on our last ditch "close the door" cycle and have a beautiful little girl. April 2014 - Had the crazy notion to try for another. Shocked with a BFP, miscarried @ 8W6D. See my "about me" page for more cycle details.

#3 ~*Megan*~

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Posted 16 January 2010 - 08:41 AM

Tks :)
Our Journey to Parenthood
TTC Since September 2007 - Diagnosis "Unexplained Infertility"
Me 28 - DH 30


Sept 2007-2008 - Trying au natural - When it was fun ;)
Sept 2008 Refered to 1st clinic, what a waste of time
Dec 2008 - Told by old clinic both my tubes were blocked, going for a lap...
Feb 2009 - Lap. done, both tubes clear and open, were never blocked
March 2009 - Clinic gave us the wrong patients results - switched clinics
April 2009 - Started at ISIS
May 2009 - 1st B2B IUI - DH counts amazing, 72 and 42 million 90% mobility - BFN!!! devastated beyond words
June 2009 - IUI #2 - 3 Good follicles - June 16th (113 million sperm, 99% motility WOOHOO) and 17th!! Beta Day July 1st - 14DPIUI...AF arrived...wondering how much more we can take :(
July 2009 - IUI #3 - Changed to timed BD...CD10 (July 10th) Only one good follicle, 2.2 I think, chose timed BD instead of IUI#3, due to only one follicle - we are going to try "au natural " this cycle - BFN again...
August 2009 - Taking time off and enjoying each other, 1st adoption meeting Sept 16th, and I also have a free round of Gonal-F waiting for us at the clinic when we decide to go back - Became a Moderator here at IVF.CA!! Thrilled to be about to give back to a wonderful site and great group
September 2009 - Explored the adoption process with Halton CAS Sept. 16 then decided to take time off from TTC and save for more fertility treatments in the future...
October 2009 - Decided to submit our application for adoption (Oct 27th) and started acupuncture, will not give up we will have a family one day
November 2009 - Finally met Karolyn, she stayed with DH and I for 3 days, she is like a sister to me, and had a few wonderful meet up's with other amazing women from the site...words can not describe what an amazing weekend that was
December 2009 - Re-doing a bunch of tests - hopefully a few IUI's in the new year with a different protocol - Maybe PRIDE training in March
January 2010 - Results from SONO and HSG, all looks great, Right tube questionable, not a huge concern as per Dr. Saving for IVF as that is our next option...might be a few years, hopefully not. Hopefully our miracle will come before -Wondering why is this so hard??
Jan 2010 Cont'd - Accepted to PRIDE training starting in March, SAFE home study to follow...We can finally dream again...
March 2010 - Started PRIDE March 22nd - 9 classes, 3 hrs every Monday night - Enjoying the class, looking forward to the future, getting all our documents ready for our SAFE homestudy package
May 1st 2010 - BFP on a HPT!!! Holy crap how did that happen...May 2nd Beta 182...May 4th Beta 300...1st U/S May 14th - 1st U/S shows healthy miracle bean - H/B and all - 127 beats per minute, what a wonderful moment between DH and I




Forget about all the reasons why something may not work. You only need to find one good reason why it will...

Visit our website - http://www.ourjourne...ly.blogspot.com

#4 avanderheide

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Posted 13 February 2010 - 06:44 PM

Thanks for the article Dr. McCulloch. I have had my thyroid tested a few times.

Dec 19, 2008 - 6.31 (apparently the sample was handled incorrectly, asked me to redo a few days later)
Dec 22, 2008 - 4.96
Jan 4, 2010 - 3.?? (I think it was between 3.5-3.8)

I see in your article that you suggest TSH be kept under 2 for fertility reasons. I do feel that there is something going on with my thyroid. My GP has said that I can have the other tests done at my own cost (not covered because my results are within 'normal' range, 0-5). However, even if I had it done my GP would not treat me with medication because it is under 5. I feel that this could be causing me a problem with getting pregnant.

If I were to see a naturopath, would this be something they would test?? Can they write prescriptions for thyroid medication? I just don't feel like my GP is up to date regarding appropriate thyroid levels. In the research I have done, a lot of doctors are now considering anything over 3 still abnormal.
Amanda

Me: 25 DH: 28
TTC since December 2007
Issues: annovulatory, low count and low morphology

Mar '09 - IUI #1 - BFN
Apr '09 - IUI #2 - BFN
May '09 - IUI #3 - BFN
Aug '09 - IVF #1 - BFN - Chemical pregnancy
ER: 16 eggs retrieved, 14 mature, 12 fertilized
ET: 8-cell, grade B+ and a 5-cell, grade B
Dec '09 - FET#1 - BFN
ET: 9-cell B+, and a 5-cell B

Miracle Pregnancy!
March 8, 2010 - +HPT (LMP January 28th)
March 10 - Beta: 17,000s
March 22 - U/S: 7w4d - measuring perfectly, FHR 130 bpm
June 17 - 20w U/S: It's a GIRL!!
Makenna Raine born on her due date, November 4th, 9lb 7oz, 51 cm long
Lilypie First Birthday tickers

#5 snoah

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Posted 15 February 2010 - 12:29 AM

I think you are right in saying that your doctor is a little outdated, they changed the values for the normal range in 2003 but there are a lot of doctors that dont go by it. The newest normal is between .5 and 3. My doctor likes to see me at a 1.5.

I would get a second opinion. My thryoid just recently went up to 4.5 and I felt a HUGE difference physically and mentally. Good luck!
March 24th - IVF Consult
16 eggs retrieved, 12 fertilized and 10 divided
May 5th - 6 embryos frozen
May 7th - ET Transferred 1 perfect Blastocyst (2 more blasts frozen today)
May 19th,2009 - BFN :-( Boo!
FET#1
August 13th,2009 BFN
FET#2
October 2009-BFN
FET#3
Feb 25th- Transferred 2 x 3 day embryos
Mar 4th (7dp3dt) +HPT
Mar 8th Early beta (11dp3dt) 208!
Mar 12th -Next Beta (15dp3dt) 1673!!
Mar 18th -Final Beta (21dp3dt) 13,500!!!
Baby Boy due November 15th, 2010
Kashton born on November 18th, 2010

<a href="http://lilypie.com/"><img src="http://lb1f.lilypie....c.php/elzp.jpg" width="60" height="80" border="0" alt="Lilypie - Personal picture" /><img src="http://lb1f.lilypie....com/elzpm8.png" width="400" height="80" border="0" alt="Lilypie First Birthday tickers" /></a>

#6 avanderheide

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Posted 15 February 2010 - 01:28 AM

Thanks for the reply Snoah. Now the question is, who do I see to get a second opinion? Do I ask my GP to refer me to an endocrinologist? I am not sure what step to take.
Amanda

Me: 25 DH: 28
TTC since December 2007
Issues: annovulatory, low count and low morphology

Mar '09 - IUI #1 - BFN
Apr '09 - IUI #2 - BFN
May '09 - IUI #3 - BFN
Aug '09 - IVF #1 - BFN - Chemical pregnancy
ER: 16 eggs retrieved, 14 mature, 12 fertilized
ET: 8-cell, grade B+ and a 5-cell, grade B
Dec '09 - FET#1 - BFN
ET: 9-cell B+, and a 5-cell B

Miracle Pregnancy!
March 8, 2010 - +HPT (LMP January 28th)
March 10 - Beta: 17,000s
March 22 - U/S: 7w4d - measuring perfectly, FHR 130 bpm
June 17 - 20w U/S: It's a GIRL!!
Makenna Raine born on her due date, November 4th, 9lb 7oz, 51 cm long
Lilypie First Birthday tickers

#7 gibasgirl

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Posted 15 February 2010 - 09:56 AM

Perhaps at your next physical (with another GP?) you can ask them to add the TSH test to your bloodwork. I had a comprehensive health assesment and this was one of the tests they ran on me. I was told a level between 0.35-4.94 is normal. Although I'm not sure if that's "normal" for my age, or for women my age or a general 'normal.' It was just part of the report. However, appropriate levels for fertility was not part of the discussion.

#8 DrFionaMcCulloch

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Posted 16 February 2010 - 09:20 PM

Hi Avander,

Naturopathic doctors often do test the thyroid with serum/blood testing. As of right now, we can't prescribe thyroid hormone however, legislation was recently approved by government so that we will have prescribing rights for certain medications within the next few years and this will include thyroid hormone. I think giving a prescription would depend on the reason you would be having the thyroid assessed. Many doctors who work specifically in fertility feel differently about where the TSH levels should be since pregnancy once achieved causes increased demands for thyroid function, and hypothyroidism is linked to early miscarriage . For this reason many now feel that a TSH below 2 is best to achieve optimal fertility and will supplement low doses of thyroid hormone in patients undergoing fertility treatment if warranted. Other doctors feel differently however, and more research needs to be done in this area to determine what the best procedure would be. It's a topic of debate for sure, and only your own doctor can know your case specifically enough to give you more information on what would be best for you.

There are other treatments however, both herbal and amino acid based that can augment thyroid function without the use of thyroid hormone, and perhaps an ND could prescribe something along these lines for you if you had signs and symptoms of hypothyroidism, low BBT, and generally higher levels of TSH.

warmest regards,

Dr Fiona


Thanks for the article Dr. McCulloch. I have had my thyroid tested a few times.

Dec 19, 2008 - 6.31 (apparently the sample was handled incorrectly, asked me to redo a few days later)
Dec 22, 2008 - 4.96
Jan 4, 2010 - 3.?? (I think it was between 3.5-3.8)

I see in your article that you suggest TSH be kept under 2 for fertility reasons. I do feel that there is something going on with my thyroid. My GP has said that I can have the other tests done at my own cost (not covered because my results are within 'normal' range, 0-5). However, even if I had it done my GP would not treat me with medication because it is under 5. I feel that this could be causing me a problem with getting pregnant.

If I were to see a naturopath, would this be something they would test?? Can they write prescriptions for thyroid medication? I just don't feel like my GP is up to date regarding appropriate thyroid levels. In the research I have done, a lot of doctors are now considering anything over 3 still abnormal.


Dr. Fiona McCulloch, BSc., ND : Naturopathic Doctor, Integrative Women's Health & Fertility
White Lotus Integrative Medicine
Greenfield Ave, Suite 201
North York, Ontario, M2N 3CBCanada
phone (416) 730-8218



 
 

#9 avanderheide

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Posted 16 February 2010 - 11:41 PM

Thanks for your reply Dr. McCulloch.
I will have to speak to my GP again and she what she says. I may also look into seeing an ND here.
Do you have any recommendations for the Kelowna BC area?
Amanda

Me: 25 DH: 28
TTC since December 2007
Issues: annovulatory, low count and low morphology

Mar '09 - IUI #1 - BFN
Apr '09 - IUI #2 - BFN
May '09 - IUI #3 - BFN
Aug '09 - IVF #1 - BFN - Chemical pregnancy
ER: 16 eggs retrieved, 14 mature, 12 fertilized
ET: 8-cell, grade B+ and a 5-cell, grade B
Dec '09 - FET#1 - BFN
ET: 9-cell B+, and a 5-cell B

Miracle Pregnancy!
March 8, 2010 - +HPT (LMP January 28th)
March 10 - Beta: 17,000s
March 22 - U/S: 7w4d - measuring perfectly, FHR 130 bpm
June 17 - 20w U/S: It's a GIRL!!
Makenna Raine born on her due date, November 4th, 9lb 7oz, 51 cm long
Lilypie First Birthday tickers

#10 RainbowsPromise

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Posted 17 February 2010 - 12:37 AM

avanderheide, I would say if your GP is not listening to your concerns, either find a new GP or refer yourself to an endocrinologist, explaining why you don't have a doctor's referral and why you want to be seen. When we lived in ON, our family doctor (my husband's who took me on when we got married) told me that I would never get pregnant cuz I was fat and he refused to refer me to a gynecologist when I asked him to, to find out why we weren't getting pregnant. So I just called the gynecologist, explained the situation, and they took me in. I have copies of the notes from the gynecologist and he even says in there that the GP refused to refer me.

I also agree that there are more natural methods to treating the thyroid. Definitely see a ND to see what they can do for you... my Chinese medicine herbalist has had great success in treating women with fertility problems by giving them some herbs and supplements to boost their thyroid... having your thyroid balanced is so important in pregnancy.

I always say trust your instincts and do what you need to do to get heard. You want to have done everything possible and never have any regrets that you didn't try hard enough.
Me 42 DH 44 Married since 2005 and have been TTC the whole time.One adoption revocation through the AB govt (son taken back by birth family after 6 days)Multiple failed clomid cyclesMultiple failed home IUI cycles.Two failed IVF cycles (didn't get to retrieval).Pursuit of donor embryos through direct donation.FET with direct donor embryos in Nov 2010 resulted in a BFP!Jan 2011- both empty sacs and m/c has begun. June 2011- Second donor embryo cycle (anonymous donor). BFN.Oct 2011- Third donor embryo cycle (anonymous donor). BFN.Nov 2011- Pursuing private adoption through Christian Adoption Services.May 2012- Officially on the waiting list for CAS.See "About Me" page for specifics on our journey and continued updates.Believing that God WILL answer our prayers for children! He is the one who placed the desire for children in our hearts so we trust that it will happen.... in His time. The message that keeps coming is from Psalm 37:7 "Be still before the Lord and wait patiently for Him". December 2013- God has answered our prayers in a way we truly didn't think was possible- we brought home a little boy and survived the 10-day waiting period, lol. To Him be the glory- the testimony of this little one is amazing!

#11 avanderheide

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Posted 17 February 2010 - 09:20 PM

Thanks Rainbows!

I just got my new insurance through work and found out that naturopath visits are covered 100% for up to $300 a year!
Now I just need to find a good one. I will look into seeing an endocrinologist as well.
Amanda

Me: 25 DH: 28
TTC since December 2007
Issues: annovulatory, low count and low morphology

Mar '09 - IUI #1 - BFN
Apr '09 - IUI #2 - BFN
May '09 - IUI #3 - BFN
Aug '09 - IVF #1 - BFN - Chemical pregnancy
ER: 16 eggs retrieved, 14 mature, 12 fertilized
ET: 8-cell, grade B+ and a 5-cell, grade B
Dec '09 - FET#1 - BFN
ET: 9-cell B+, and a 5-cell B

Miracle Pregnancy!
March 8, 2010 - +HPT (LMP January 28th)
March 10 - Beta: 17,000s
March 22 - U/S: 7w4d - measuring perfectly, FHR 130 bpm
June 17 - 20w U/S: It's a GIRL!!
Makenna Raine born on her due date, November 4th, 9lb 7oz, 51 cm long
Lilypie First Birthday tickers

#12 DrFionaMcCulloch

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Posted 18 February 2010 - 11:09 AM

Hi Avander,
unfortunately I don't know any Naturopathic Doctors in Kelowna who specialize in fertility but if you contact the BC naturopathic association ( http://www.bcna.ca )
, they can refer you to someone. Best of luck!
Dr Fiona McCulloch
Dr. Fiona McCulloch, BSc., ND : Naturopathic Doctor, Integrative Women's Health & Fertility
White Lotus Integrative Medicine
Greenfield Ave, Suite 201
North York, Ontario, M2N 3CBCanada
phone (416) 730-8218



 
 

#13 avanderheide

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Posted 18 February 2010 - 11:35 PM

Thanks so much!
Amanda

Me: 25 DH: 28
TTC since December 2007
Issues: annovulatory, low count and low morphology

Mar '09 - IUI #1 - BFN
Apr '09 - IUI #2 - BFN
May '09 - IUI #3 - BFN
Aug '09 - IVF #1 - BFN - Chemical pregnancy
ER: 16 eggs retrieved, 14 mature, 12 fertilized
ET: 8-cell, grade B+ and a 5-cell, grade B
Dec '09 - FET#1 - BFN
ET: 9-cell B+, and a 5-cell B

Miracle Pregnancy!
March 8, 2010 - +HPT (LMP January 28th)
March 10 - Beta: 17,000s
March 22 - U/S: 7w4d - measuring perfectly, FHR 130 bpm
June 17 - 20w U/S: It's a GIRL!!
Makenna Raine born on her due date, November 4th, 9lb 7oz, 51 cm long
Lilypie First Birthday tickers