Hello,
I am Dr. Romain Rajan, General Physician (Ex Govt Medical Officer at RML Hospital, New Delhi), and your case has been allotted to me.
Thank you for sharing your details. I understand your concern regarding
thyroid, low weight, and planning for pregnancy, and I will explain this clearly.
About thyroid and conception
If
TSH is high, it means your thyroid is not optimally controlled.
Poorly controlled hypothyroidism can affect ovulation and fertility, but the good news is that once TSH is properly controlled, chances of conceiving are usually good.
For women planning pregnancy, the ideal TSH target is below 2.5.
About low weight
Being underweight can also affect hormonal balance and ovulation, but it does not mean you cannot conceive. Many women conceive successfully once thyroid levels and nutrition are corrected.
Low weight in your case may be due to:
⢠Inadequate calorie intake
⢠Poor absorption
⢠Long standing thyroid imbalance
⢠Stress or irregular eating patterns
What you should do now
⢠Continue thyroid medicine regularly (do not stop or skip doses)
⢠Get repeat TSH, Free T3, Free T4 tested
⢠Dose adjustment may be needed to bring TSH below 2.5
⢠Take thyroid tablet on an empty stomach, avoid food for 30 minutes
How to gain weight safely
⢠Eat small, frequent meals
⢠Increase protein intake like milk, curd, paneer, eggs, pulses
⢠Add healthy calories like nuts, seeds, ghee, and oils
⢠Do light strength exercises to build muscle mass
⢠Avoid crash dieting or skipping meals
When to consult a doctor
⢠If TSH remains high despite medication
⢠If periods are irregular
⢠If you are planning pregnancy actively
With proper thyroid control and gradual weight improvement, most women conceive normally.
For personalised one to one consultation, thyroid dose adjustment, and pregnancy planning, you can reach out to me directly on WhatsApp at 85271646 seven seven.
Wishing you good health and the best ahead.