A 28-year-old woman, 10 weeks pregnant, presents for her booking appointment. Routine screening blood tests reveal a TSH of 6.5 mU/L (reference range ...

Question

A 28-year-old woman, 10 weeks pregnant, presents for her booking appointment. Routine screening blood tests reveal a TSH of 6.5 mU/L (reference range 0.4-4.0 mU/L) and a normal free T4. She has no personal or family history of thyroid disease and is asymptomatic. According to NICE guidelines, what is the most appropriate management?

Accepted Answer

Start levothyroxine 50 micrograms OD

Answer

Reassure and repeat TSH in 4 weeks

Answer

Refer to endocrinology

Answer

Check thyroid peroxidase antibodies

Answer

Start levothyroxine 100 micrograms OD

ukmla MCQ (SBA): Subclinical Hypothyroidism in Pregnancy