Question

A 28-year-old pregnant woman at 10 weeks' gestation is found to have primary hypothyroidism with TSH 10 mIU/L and low free T4. She is otherwise well. What is the most appropriate management?

Accepted Answer

Commence Levothyroxine and aim to normalise TSH in pregnancy-specific range

Answer

Delay treatment until after delivery

Answer

Start Carbimazole

Answer

No treatment as this is physiological

Answer

Commence iodine supplementation alone

Practice question

A 28-year-old pregnant woman at 10 weeks' gestation is found to have primary hypothyroidism with TSH 10 mIU/L and low free T4. She is otherwise well. What is the most appropriate management?