u/BitNo7085

Is surgery the right choice?

I was diagnosed with Graves’ disease 7 months ago and have been on 5mg Methinazole. My biggest goal is to get pregnant literally as soon as possible, but I’m terrified of the risks of being on anti-thyroid meds (Methimazole) while TTC or during the first trimester.

My endocrinologist mentioned a total thyroidectomy as a 'fast-track' option, but I’m worried: is 7 months post-diagnosis choosing surgery too hasty? I know some people wait 12–18 months to see if they hit remission on meds, but I really don't want to wait that long to start my family nor do I have the biological time. I've already ruled out RAI because I don't want to wait the 6–12 months for the radiation to clear.

For those who chose surgery specifically for family planning:

  • Did you feel like you were 'rushing' into surgery, or was the peace of mind worth it?
  • How fast were your levels stable enough to get the 'green light' to try?
  • If you had high antibodies (TRAb/TSI), did they drop fast enough after surgery to not affect the baby?
  • Any regrets about not giving the meds more time to work?

I’m feeling the 'biological clock' pressure and just want a stable environment for a healthy pregnancy. TIA!

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u/BitNo7085 — 1 day ago