If you’re trying to conceive, your thyroid health matters more than many people realize. Even subtle thyroid imbalances can influence ovulation, fertility, and pregnancy outcomes.

One of the most common questions I hear in my naturopathic practice is: “My TSH is slightly elevated—should I start treatment?”

The answer depends on several factors, including your TSH level, thyroid antibody status, and pregnancy history. Let’s walk through what current guidelines and research suggest in a clear, patient-friendly way.