I went to the gynecologist today and 2 things were brought up.

1) My husband and I are not actively trying to conceive, but we’re not preventing pregnancy either. I’m not charting and we’re not paying attention to when we’re having sex. If it happens, it will be welcomed, if it doesn’t happen, that’s okay too. (we are planning to start actively trying in Aug/Sept). After discussing this with my doctor, she recommended going ahead and starting prenatal vitamins, just in case. What is the best way to determine which prenatal I should take? She didn’t mention/provide a prescription, so I’m looking for something over the counter, in the US. Any links/info or personal experience you’d like to provide about prenatal vitamins? Do you have to take them in the morning? Same time daily? With food? Did you have better luck with one vs another (like making you sick feeling or anything — multivitamins usually make me feel ickky)

2) She expressed concern over my weight gain and recent ‘symptoms’ and decided to test me for thyroid issues. The symptoms that concerned her, in addition to weight gain (about 40 pounds in 2.5ish yrs), is joint issues, fatigue, and my increased anxiety issues. I made the correlation with the weight gain and fatigue, but are joint issues and increased anxiety and common symptom with thyroid issues? Again, any personal experiences or websites/info you’d be willing to share?

Thanks in advance! 🙂

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7 Responses to Pre-natals + thyroid issues

  1. Hteall says:

    Increased anxiety is certainly a potential thyroid issue, yes. It’s perhaps more common with hyperthyroidism, but hypothyroid folks can have it too, when their levels are bad. I don’t know about joint issues, but it wouldn’t surprise me.

    When I took pre-natals, it made my constant pregnancy nausea worse. (All-day nausea, worst in the evenings… Ugh.) I was reduced to gnawing on a couple of Flintstones generics a day. If multivitties make you feel icky, I’d skip to the Flintstones, personally.

    When you get your results, get your numbers. It sounds like your gyno is on the ball (I was undiagnosed till a couple years or so after I had the kid), so you probably won’t have to worry about her using out-of-date ranges for “normal,” but it’s just a good habit to be in. Sometimes even a pretty good doctor will say, “Oh, normal,” when you’ve slipped from TSH 1 to TSH 2.5, which… is kinda a slip, y’know?

    Another fatigue-causer is low ferritin; that’s another one to get the numbers on, since http://www.nlm.nih.gov/medlineplus/ency/article/003490.htm notes: ‘The lower the ferritin level, even within the “normal” range, the more likely it is that the patient does not have enough iron.’

    Good luck!

  2. EttSuper says:

    There are also a ton of gummy vitamins, now!

    Beth, you probably know more about this than me, but one of my docs mentioned that thyroid issues can present problems during pregnancy. (The conversation didn’t really go further than that because I was like, “That’s ok, I’m not planning on ever having kids.”)

    But, in addition to what Beth said about docs not always being awesome about making sure thyroid numbers are the most accurate, that may be something to inquire about if conception is on your radar.

  3. Hteall says:

    Very true! Thryoid problems — specifically hypothyroid, but probably hyper as well — can make it harder to conceive (irregular ovulation), may increase the chance of miscarriage, does increase the risk of severe fetal brain damage, and does increase the risk of pre-eclampsia.

    I had unmanaged, undiagnosed hypothyroidism during my pregnancy, where my thyroid pretty much gave its last gasp. I had pre-eclampsia, which required a quasi-emergency c-section at 7 months gestation. Fortunately, the kid appears to have suffered no ill effects.

    Definitely get the numbers, and consider checking in at thyroid!

    (Thanks for reminding me to do the rest of my spiel, SB!)

  4. Kdgle says:

    For some reason vitamins with gelatin (a common binder or coating) make me seriously nauseated. I have no idea why this occurs, but I think it happens to a lot of people. Sometime people also find that vitamins combined with particular foods cause them trouble — my mom couldn’t eat yogurt for breakfast, for instance, while she was taking prenatal vitamins. I actually really like the adult chewy vitamins (Target brand, One-A-Day brand, etc) — they don’t seem to make me sick.

    I’ve got hypothyroid, myself, and it definitely caused weight gain and massive fatigue. However, when my thyroid med dosage is too high I get very anxious. Sorry not to be more helpful.

  5. Stiita says:

    I was told to at least up my folic acid and take a vitamin. As this is one of the more important things in fetal development early on.then maybe a full prenatal when pregnant for sure. I take my thyroid med in am.And vitamins at lunch.</p>

  6. Talzoa says:

    if i remember correctly, i took folic acid before pregnancy, then switched to generic wal-mart vitamins. i tried to take them at the same general time each day. i wonder if taking them with food would help prevent the nausea.

    i’ve got hypothyroidism…diagnosed about a year before 1st pregnancy. doctor paid close attention to levels during pregnancy, adjusting medicine a little, then re-adjusting after pregnancy.
    I had weight gain and fatigue, never noticed joint issues nor anxiety back then. (Anxiety issues now…)

  7. Eneita says:

    Fatigue can be caused by low iron, hypothyroidism and low vitamin D. If they do blood work, ask for what the numbers for the hemoglobin and hematacrit are. Women’s hematacrit should be about 34-36 or thereabouts. If it’s that, your iron level is fine.

    With the Vitamin D level, about 75% of all Americans have low vitD, so that probably contributes to it. That number should be between 35-45 (I’ve had lots of blood work lately for this stuff). Something else to be aware of is that low vitD levels contribute to depression and anxiety, so getting that particular vitamin checked would be a good idea. I know for a fact that when I finally got my severe vit D deficiency treated (50,000 IU capsule prescribed once a week), my mood stabilized and I finally started feeling better, plus didn’t need my Lexapro any more.

    As for prenatals, I had no problem taking the Women’s One a Day prenatals until I got morning sickness. Every single day I took one, it inevitably came back up within an hour or less. When I switched to the Belly Bar chewable vitamins (Motherhood Maternity sells them, about $13 a bottle, same as a lot of other brand prices), they immediately started staying down. I’m now on gummies for prenatal, so we’ll see how those work when I’m pregnant again.

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