A.M.
Hi J.,
My position on this is a bit different from other people's views. My thyroid levels are normal, but continue to move slowly, but steadily, in the direction of under-active, so I am closely monitored. I am also closely monitored because my mother has an under-active thyroid, and I exhibit some of the common symptoms. My mom was diagnosed over 20 years ago and she had already had my brother and I was not looking to have any more children. So, the only advice that I have concerning the medication and pregnancy is that I've been told that if necessary, I would take the pills and they would be fine during any future pregnancy that I might have.
That said, my mother took synthroid for a number of years. Her story (I wasn't in the office at the time) is that she went to a doctor at some point who told her that she would have to stop taking the synthroid one day because she could not be on it for the rest of her life. We do know that this information is totally and completely incorrect--but that is what she says happened and we have no way of knowing what really happened, or if indeed she heard correctly. Anyway, she panicked and took herself off of the medication w/o doctor approval; w/o doctor supervision; and w/o informing anyone (e.i.-my dad, her husband) that she had stopped taking her medication. Over the course of about 10-12 years we watched what was once a vibrant/athletic/beautiful/energetic/vital/funny/caring/gentle/wonderful woman become someone unrecognizable. From what we considered a superficial physical appearance to a personality and attitude that was simply unbearable. She became grossly overweight. She stopped all forms of exercise. Many days, she only came down from the bedroom to make and eat meals--and it would be a chore to do so--she would fall asleep while speaking--mid-sentence!!! And then be able to pick up where she left off when she woke a few minutes later. There were mornings when she simply couldn't get out of bed for hours because she continually fell asleep as she tried to rise. She would fall asleep while driving, so she began bringing water to keep her awake in the car. Her eyelids filled with fluid that she could press out, but then would re-fill immediately. Her straight hair turned curly. She lost body hair--although the hair on her head remained. She was ALWAYS cold and got sick frequently. Her skin was always dry, no matter what lotion or treatment she used. Again, this is all what we considered a superficial appearance but figured that if she got exercise, many symptoms would vanish (we had no idea that she was not on her medication). Then there was the personality shift. She was Dr. Jekyll and Mr. Hyde. I found myself walking on eggshells around her not to make her angry and yell/scream/ and be upset with me. Sometimes it would happen out of the blue. You never knew when nice/normal/calm mom would be there, or when this horrible monster would take her place. As a teen, I assumed that I was hormonal and that we just didn't mix. It was a relief to go away to college. I could take her in small doses--but the up and down yo-yo existence of living in that house was just way too much. I truly cannot put into words how terrible it was. I wish that I could.
But then, one day, after years of nagging, we convinced her to go to the doctor once again. She had been convinced that the doctor would tell her that she had some huge terrible disease and that she had only a few months to live. She didn't want to hear it. But we continued to tell her that maybe it wasn't all that bad. Maybe it was something simple that could be easily fixed. She was afraid to see her weight--again, I cannot tell you how large she was, I am not good at estimating. But she was BIG! I told her not to look at the scale. And, as she started to go more and more frequently, to tell them to just tell her the weight change, not the numbers. Oh, my goodness!!!!!!! She was told that every single little and big thing wrong with her was because of her thyroid--in an extremely under-active state. It, for all intents and purposes, was turned off. She started on the medication and our former mom returned. Yes, as easily as that. The fat melted off of her. She began to exercise again. She began to sing again. She was happy again. She was the mom I remembered from primary school. So full of vibrancy and energy. It was a pleasure to be with her again. My parents re-fell in love (according to my dad). She began baking again. She began to cook with love--not just out of obligation to the family. She would decorate the plates and sing and hum as she prepared the food. She began to look forward to things again--the extreme depression was gone.
Then her doctor left the practice and, to date, she has not returned in years. She has reverted to her old ways. I have discussed this with my various doctors and they all say the same thing--get her to a doctor to just get the prescription, and then you can talk to her rationally about other health care issues. You see, it happened much faster this time. The hardest part for me is that I don't feel sorry for her. From the outside, my attitude is "how could you let this happen again?" "How could you stop taking that first pill, again?" I don't get it. I know that at this point, rationality is beyond her scope. Her hormones do not permit her to see things the way that we do in this regard. She simply does not see that it is her thyroid that is doing all of this to her. We are back at square one, and she has 2 beautiful granddaughters who love her and want to spend time with her--but I always have to make sure that someone else is around. I cannot trust her to stay awake and be quick enough to chase after my 5 and 2 year olds.
Please understand that she is an extreme case. But I share this information with you to let you know what would/could happen if you are indeed diagnosed with this and you do not treat it properly. It is really so very easy to follow the treatment and so well worth taking that pill each and every day. Her symptoms appear in the extreme after years and years of lack of treatment. It is very hard on those of us who love her--I cannot be with her myself for extended periods of time and I do not trust my children in her sole care. I truly do not understand how my father can still live with her. The man is a saint. He must hold out hope that she will once again start the medication and his old love will return.
I know that this is long, and I apologize. But you now have a glimpse into what an under-active thyroid can do to you, and your loved ones when left untreated. Good luck to you.