Marie found out that thy­roid health is a key pla­yer in fer­ti­lity!! (This in her blog entry, and she gra­ciously allo­wed it to be here.)

‘Roid Rage: Thy­roid is a Key Pla­yer in Fertility

Are your hands cold all the time? Do you have a low body tem­pe­ra­ture (just take it right now, is it is lower than 98 F?) Hair falling out? Dry skin?

I used to show up for my yearly phy­si­cal, and the nurse would always look at the ther­mo­me­ter and go, “Hm.…96…did you just drink something cold?” When I’d say no, they’d shrug and say, “Well, maybe because it’s cold outside.”

Of course, when I star­ted having my mis­ca­rria­ges, I star­ted doing some research which sug­ges­ted that it was pos­si­ble, given my below-normal body temps, that my thy­roid was invol­ved, and when the ol’ thyroid’s off, all the other hor­mo­nes get a little wacky as well. What a sur­prise (not!) to bad­ger them into tes­ting me and for the thy­roid sti­mu­la­ting hor­mone (TSH)) results to come back and a whop­ping 9-point something (nor­mal lab range is about 4, for someone trying to con­ceive, more like 2 or 1). My hands and feet have been cold prac­ti­cally all my life – who knows how long my dumb thy­roid had been out of whack.

Even with my num­bers clearly out of range, my pri­mary care phy­si­cian, my OB, and the endoc­ri­no­lo­gist I’d been refe­rred to all hem­med and hawed about actually trea­ting me. I pro­cu­red copies of their corres­pon­dence, and while they all call me some ver­sion of a “delight­ful young lady,” they all pon­de­red whether, it’s “worthwhile” to treat – to reple­nish my body with something in which it’s defi­cient. My hus­band, on the other hand, went into our pri­mary care guy com­plai­ning about something or other (sleep pro­blems?) and he wal­ked away with a script for Zoloft with the admo­ni­tion to return for Via­gra if the Zoloft cau­ses “erec­tile” pro­blems, and, simi­larly, for slee­ping meds if the Zoloft cau­ses more sleep pro­blems – and, of course, to come back in for MORE ZOLOFT if he beco­mes more depres­sed when he can no lon­ger sleep or do the you-know-what.

So why was I put off like I was some kind of Munchau­sen Syn­drome har­pie? I wasn’t asking for Demerol…only thy­roid hormones!

So the endo, sort of bored by my dro­ning voice, put me on Synth­roid (synthe­tic thy­roid hor­mone – get it?), which in short order gave me heart pal­pi­ta­tions, but did (coin­ci­den­tally?) allow me to con­ceive and carry my son to term. Of course, I spent much of my time wacked-out and fee­ling hyper and strange on the Synth­roid – so much so that I couldn’t sleep when my son was born and thus my milk didn’t come in.

It wasn’t until I had a casual con­ver­sa­tion with one of my son’s exce­llent doc­tors who sug­ges­ted something called Armour, a natu­ral hor­mone made from por­cine thy­roid. The doc sug­ges­ted that a natu­rally based thr­yoid hor­mone pro­duct has all sorts of thy­roidy things we might not even know about, while Synth­roid is is just a sin­gle hor­mone, levothy­ro­xine, also known as T4). The funky sme­lling Armour pills plus my yoga and some major acu­punc­ture action finally got me fee­ling bet­ter: warm hands, warm heart, no more of my hus­band screa­ming when I climb in bed with him at night. But talk about having ‘Roid Rage.

Unof­fi­cial esti­ma­tes sug­gest that up to 20% of women might have thy­roid pro­blems. Phy­si­cians vary WIDELY on how they treat. My friend who’s an astute doc says she puts peo­ple on the hor­mo­nes even if their cli­ni­cal labs don’t show anything, just to see. On the other end of the scale is my doc­tor who could hardly be prod­ded to write me a script, and then, he just put me on the most “popu­lar” hor­mone – I had no idea there were others.

Edu­cate your­self. Mary Shomon’s Thr­yoid site (and she wrote a book and seve­ral gui­des) at About.com rocks: http://thyroid.about.com/blthyroid.htm (And now Marie knows about here, too, and asks us to keep up the good work! We will, Marie!)

P.S. Dr. Beer and some other fer­ti­lity docs feel that a TSH of 1 is just about right. And other peo­ple I res­pect also seem to think the cli­ni­cal “nor­mal” level of 4 is too high. Go by how you feel. You know you the best.

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