pregnancy and lab values question

[Guest guest]

My labs have looked good for a while now. TSH supressed, FT3 just over the top, and FT4 in the upper range. I'm in my 8th week of pregnancy now, and since I already had a lab slip for future use, I went ahead and had labs done and sent to my thyroid Dr. Then I called and wanted to find out if he needs to see me, or can just tell me if I need any adjustment at this time, and how often I should be tested. (A little background that in my last pregnancy I was only tested once by my midwife, who never adjusted anything even though my T3 came back very low).

I only spoke with his nurse, and often times they think they know the Dr.'s mind when they don't. But she had said that they don't want the liability of dealing with an OB patient and generally turn over the testing responsibility to them during the pregnancy. I hope that's not really true. My midwife is not a Hashi's or thyroid expert. She ordered a TSH only... and when of course it came back low, she told me to cut my meds drastically (which I didn't). If I leave this all up to her, I may as well not bother getting tested.

So, first of all.... should your labs be at the same levels during pregnancy as would be ideal otherwise? Is it bad to have a supressed TSH while pregnant? Hopefully the Dr. understands the issues involved... I mean really, if I had rheumatoid arthritis, or epilepsy or something..... my specialist for that wouldn't turn over my care to the OB who doesn't know anything about it!