Gynaecology & Obstetrics

Rani a 24-year-old woman presents to her gynaecologist as she has chronic hypothyroidism and wants to conceive now. Her hypothyroidism is well controlled at 75 microgram of Thyroxine. She doesn&;t smoke or drink and doesn&;t have any other medical ailment. She would like to know if she should keep taking her Thyroxin. Which of the following is the best advice to give to this patient?

Stop taking Thyroxine and switch to methimazole as we would like to control your baby's thyroid levels

Thyroxine is safe during pregnancy but it is not absolutely necessary during pregnancy to continue thyroxine.

Thyroxine is not safe during pregnancy and it is better for your baby to be hypothyroid than hypehyroid

Thyroxine is safe in pregnancy and the dose of thyroxine would be increased during pregnancy to avoid hypothyroidism, which may affect the baby adversely

Questions

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