Since your thyroid levels are well-managed with levothyroxine (Thyronorm), that is wonderful news. After a miscarriage, your body's hormones can take several cycles to fully reset, which can temporarily delay your periods and ovulation, even if standard tests look normal. Give your body a little gentle time to heal. I highly recommend discussing a cycle-tracking plan with your doctor to help guide you on this journey.

I understand how deeply you want to welcome a healthy baby, especially after your difficult losses. It is highly advisable to wait before attempting pregnancy. First, your thyroid needs time to stabilize on levothyroxine (Thyronorm); we want your TSH levels to be ideally under 2.5 mIU/L, which usually requires rechecking after 6 to 8 weeks of treatment. Second, it is crucial to complete your spiramycin (Rovamycin Forte) course and ensure your infections are fully resolved. Finally, further evaluation for your recurrent miscarriages will help us create the safest plan for you. Please discuss these steps with your obstetrician first. You are doing great taking these proactive steps.

Since you have been taking Thyronorm for your thyroid, the first step is a simple blood test to ensure your thyroid levels are currently stable, as fluctuations can trigger hair shedding. For your oily scalp and winter dandruff, using a medicated shampoo containing ketoconazole or zinc pyrithione twice a week can help clear the scalp environment. Finally, I highly recommend consulting a dermatologist. They can evaluate the thinning on top and discuss effective options like topical minoxidil or specific vitamin supplements to safely encourage regrowth.

Since you are taking Thyronorm (levothyroxine), your doctor will likely make a small adjustment to your dose. It typically takes about 4 to 6 weeks for your thyroid levels to normalize after a dose change. For pregnancy, we generally aim for a TSH level under 2.5 to support healthy conception and baby's development. While a level of 5.8 can temporarily impact your fertility, bringing it into the ideal range is very straightforward. I encourage you to discuss this result with your doctor soon to safely prepare for your pregnancy journey.

Stopping thyroid hormone replacement (like Thyroxine or Thyronorm) can cause your hormone levels to drop, which might lead to symptoms like fatigue or feeling cold. Since you have been off the medication for six months, your recent blood tests (specifically TSH and Free T4) are very important. They show exactly how your body is currently managing on its own. Please share these results with your doctor. They will help safely determine if your body needs a little support again or if your thyroid has recovered, ensuring we get you feeling your best.

A TSH of 7.8 uIU/mL is mildly elevated, indicating a slightly underactive thyroid. Typically, starting hormone replacement like levothyroxine (Thyronorm) is strongly recommended when TSH exceeds 10 uIU/mL. However, for levels between 4.5 and 10 uIU/mL, doctors often consider starting a gentle dose, such as Thyronorm 25 mcg, if you have symptoms like fatigue, high cholesterol, or positive antibodies. Please be reassured that this is very common and highly manageable. I suggest sharing any symptoms you might have with your doctor, who can help determine if starting this low dose is the best next step for you.