apollo

Thyroid Hormone Levels During Pregnancy

know all about thyroid hormone level during pregnancy, common disorders. Learn to manage and check thyroid levels during pregnancy.

reviewerImg

Written by Dr. Siri Nallapu

Reviewed by Dr. J T Hema Pratima MBBS

Last updated on 22nd Jul, 2025

Thyroid Hormone

Introduction 

Pregnancy is a beautiful journey, but it also brings many changes to your body, including shifts in your thyroid hormone levels. The thyroid, a small butterfly-shaped gland in your neck, plays a crucial role in regulating metabolism, energy, and even your baby’s brain development.

If your thyroid hormone levels are too high or too low during pregnancy, it can affect both you and your baby. However, the good part is that with proper awareness and care, thyroid imbalances can be managed effectively. Let’s understand how thyroid hormones work during pregnancy and what you can do to stay healthy.

Why Are Thyroid Hormones Important in Pregnancy?

Thyroid hormones (T3 and T4) are essential for:

  1. Your baby’s brain and nervous system development, especially in the first trimester.
  2. Maintaining your energy levels and metabolism.
  3. Supporting a healthy pregnancy by regulating heart rate, digestion, and muscle function.

Since your baby relies entirely on your thyroid hormones in early pregnancy, any imbalance can impact their growth and development.

Common Thyroid Disorders During Pregnancy

1. Hypothyroidism 

This occurs when your thyroid doesn’t produce enough hormones.

Symptoms:

  1. Extreme tiredness
  2. Weight gain
  3. Feeling cold
  4. Dry skin and hair
  5. Constipation
  6. Depression or mood swings

Causes:

  1. Pre-existing hypothyroidism occurring before pregnancy
  2. Autoimmune condition called Hashimoto’s thyroiditis
  3. Iodine deficiency

Risks if untreated:

  1. Preterm birth
  2. Low birth weight
  3. Developmental delays in the baby

2. Hyperthyroidism (Overactive Thyroid)

This happens when your thyroid produces too much hormone.

Symptoms

  1. Rapid heartbeat
  2. Weight loss (despite eating more)
  3. Anxiety or irritability
  4. Excessive sweating
  5. Tremors in hands

Causes:

  1. Graves’ disease is an autoimmune disorder
  2. Thyroid nodules
  3. A temporary condition called gestational thyrotoxicosis

Risks if untreated:

  1.  High blood pressure, as in preeclampsia
  2.  Premature birth
  3.  Low birth weight

How Are Thyroid Levels Checked During Pregnancy?

Doctors usually test

  1. TSH (Thyroid-Stimulating Hormone)
  2. High TSH = Hypothyroidism; Low TSH = Hyperthyroidism.
  3. Free T4 (Thyroxine): Measures active thyroid hormone levels.

When to Get Tested?

  1. If you have a history of thyroid issues.
  2. If you experience symptoms of hypo- or hyperthyroidism.
  3. Routine screening (some doctors recommend it for all pregnant women).

Consult endocrinology for Personalised Advice

Dr. Nithin Reddy Modhugu, Endocrinologist

Dr. Nithin Reddy Modhugu

Endocrinologist

6 Years • MBBS, MD (General Medicine), DNB (Endocrinology)

Hyderabad

Dr. Nithin's Endocrine Clinic, Hyderabad

recommendation

85%

(100+ Patients)

938

Dr. Gayatri S, Endocrinologist

Dr. Gayatri S

Endocrinologist

4 Years • Suggested Qualifictaion- MBBS, MD (Internal Medicine), DM (ENDOCRINOLOGY)

Nellore

Narayana hospital, Nellore

1000

300

Dr. Venkata Rakesh Chintala, Endocrinologist

Dr. Venkata Rakesh Chintala

Endocrinologist

8 Years • MBBS,MD( GEN MEDICINE), DM ( ENDOCRINOLOGY)

Krishna district

Sanjeevani Hospital, Krishna district

1000

Managing Thyroid Levels for a Healthy Pregnancy

1. Hypothyroidism Treatment

1. Thyroid Hormone Replacement (Levothyroxine)
Safe during pregnancy; dosage may need adjustment.

2. Regular Monitoring
TSH levels should be checked every 4-6 weeks.

3. Iodine-rich diet
Includes dairy, eggs, and iodised salt (but avoid excess).

2. Hyperthyroidism Treatment

  • Anti-thyroid Medications (PTU or Methimazole)
    Help control hormone production.
  • Beta-blockers (if needed)
    For rapid heart rate symptoms.
  • Avoid Excess Iodine
    Too much can worsen hyperthyroidism.

Lifestyle Tips for Thyroid Health

  1. Eat a Balanced Diet
    Include selenium-based foods like nuts, fish) Zinc foods like beans, meat, and iron leafy greens.
  2. Stay Active
    Gentle exercises like walking or prenatal yoga help metabolism.
  3. Manage Stress
    High stress can affect thyroid function, so try meditation or deep breathing.
  4. Get Enough Sleep
    Rest is crucial for hormone balance.

When to See a Doctor?

If you notice any symptoms of thyroid imbalance or have a history of thyroid disorders, consult your doctor. Early detection and treatment can prevent complications.

Book a Thyroid Test or Consultation with Apollo 24|7

Worried about your thyroid levels? You can easily book a thyroid test or consult an endocrinologist through Apollo 24|7. Early care ensures a smoother pregnancy journey for you and your baby.

Final Thoughts

Thyroid health is vital for both mom and baby during pregnancy. To ensure good health eat balanced diet, stay active and beat stress. With regular check-ups, proper medication (if needed), and a healthy lifestyle, you can manage thyroid imbalances effectively.

Consult endocrinology for Personalised Advice

Dr. Nithin Reddy Modhugu, Endocrinologist

Dr. Nithin Reddy Modhugu

Endocrinologist

6 Years • MBBS, MD (General Medicine), DNB (Endocrinology)

Hyderabad

Dr. Nithin's Endocrine Clinic, Hyderabad

recommendation

85%

(100+ Patients)

938

Dr. Gayatri S, Endocrinologist

Dr. Gayatri S

Endocrinologist

4 Years • Suggested Qualifictaion- MBBS, MD (Internal Medicine), DM (ENDOCRINOLOGY)

Nellore

Narayana hospital, Nellore

1000

300

Dr. Venkata Rakesh Chintala, Endocrinologist

Dr. Venkata Rakesh Chintala

Endocrinologist

8 Years • MBBS,MD( GEN MEDICINE), DM ( ENDOCRINOLOGY)

Krishna district

Sanjeevani Hospital, Krishna district

1000

Consult endocrinology for Personalised Advice

Dr. Nithin Reddy Modhugu, Endocrinologist

Dr. Nithin Reddy Modhugu

Endocrinologist

6 Years • MBBS, MD (General Medicine), DNB (Endocrinology)

Hyderabad

Dr. Nithin's Endocrine Clinic, Hyderabad

recommendation

85%

(100+ Patients)

938

Dr. Gayatri S, Endocrinologist

Dr. Gayatri S

Endocrinologist

4 Years • Suggested Qualifictaion- MBBS, MD (Internal Medicine), DM (ENDOCRINOLOGY)

Nellore

Narayana hospital, Nellore

1000

300

Dr. Shiva Madan, Endocrinologist

Dr. Shiva Madan

Endocrinologist

10 Years • MBBS , MD (General medicine) , DM (Endocrinology)

Bikaner

Sushma diabetes and Endocrine center, Bikaner

600

Dr. Venkata Rakesh Chintala, Endocrinologist

Dr. Venkata Rakesh Chintala

Endocrinologist

8 Years • MBBS,MD( GEN MEDICINE), DM ( ENDOCRINOLOGY)

Krishna district

Sanjeevani Hospital, Krishna district

1000

Dr. M.a. Mujeeb Afzal, Endocrinologist

Dr. M.a. Mujeeb Afzal

Endocrinologist

13 Years • MBBS , MD (General medicine) , DM (Endocrinology)

Hyderabad

Premier Hospital, Hyderabad

750

600

Consult endocrinology for Personalised Advice

Dr. Nithin Reddy Modhugu, Endocrinologist

Dr. Nithin Reddy Modhugu

Endocrinologist

6 Years • MBBS, MD (General Medicine), DNB (Endocrinology)

Hyderabad

Dr. Nithin's Endocrine Clinic, Hyderabad

recommendation

85%

(100+ Patients)

938

Dr. Gayatri S, Endocrinologist

Dr. Gayatri S

Endocrinologist

4 Years • Suggested Qualifictaion- MBBS, MD (Internal Medicine), DM (ENDOCRINOLOGY)

Nellore

Narayana hospital, Nellore

1000

300

Dr. Shiva Madan, Endocrinologist

Dr. Shiva Madan

Endocrinologist

10 Years • MBBS , MD (General medicine) , DM (Endocrinology)

Bikaner

Sushma diabetes and Endocrine center, Bikaner

600

Dr. Venkata Rakesh Chintala, Endocrinologist

Dr. Venkata Rakesh Chintala

Endocrinologist

8 Years • MBBS,MD( GEN MEDICINE), DM ( ENDOCRINOLOGY)

Krishna district

Sanjeevani Hospital, Krishna district

1000

Dr. M.a. Mujeeb Afzal, Endocrinologist

Dr. M.a. Mujeeb Afzal

Endocrinologist

13 Years • MBBS , MD (General medicine) , DM (Endocrinology)

Hyderabad

Premier Hospital, Hyderabad

750

600

More articles from Thyroid