A 42-year-old woman delivered a healthy infant 6 months ago and presents with fatigue, weight gain, and cold intolerance. Examination reveals a small,...

Question

A 42-year-old woman delivered a healthy infant 6 months ago and presents with fatigue, weight gain, and cold intolerance. Examination reveals a small, non-tender thyroid. TSH is 12 mIU/L, free T4 is low. She is breastfeeding and has no other comorbidities. What is the most appropriate management?

Accepted Answer

Start levothyroxine replacement

Answer

Reassure and repeat thyroid function tests in 6 months without treatment

Answer

Start propylthiouracil

Answer

Schedule radioiodine ablation

Answer

Begin combination T3 T4 therapy

ca-mccqe1 MCQ (SBA): Postpartum hypothyroidism

A 42-year-old woman delivered a healthy infant 6 months ago and presents with fatigue, weight gain, and cold intolerance. Examination reveals a small, non-tender thyroid. TSH is 12 mIU/L, free T4 is low. She is breastfeeding and has no other comorbidities. What is the most appropriate management?