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Thyroid disorders explained

continued from page 8

Thyroid disorders and pregnancy
As thyroid disorders are much more common in women, there may be problems or concerns associated with pregnancy.

Hypothyroidism and pregnancy There are a number of things to note about hypothyroidism and pregnancy:

  • Women who are hypothyroid may have problems becoming pregnant due to the effect on their periods. Doing a simple blood test and treating with thyroid hormone replacement therapy may help you to conceive.
  • Some of the symptoms of hypothyroidism, such as weight gain and tiredness, are similar to those of pregnancy. This means doctors could easily miss a diagnosis of hypothyroidism during pregnancy.
  • If you are already taking thyroid replacement therapy when you become pregnant, you may continue to do so as the drugs used are safe for the baby. You will have to have more frequent blood tests as the amount of hormone replacement you need may be affected by the pregnancy.
  • Hyperthyroidism and pregnancy
    Factors concerning hyperthyroidism that affect pregnancy include:

  • Women who are hyperthyroid may have difficulty conceiving because of irregular or absent periods. They are also more likely to miscarry.
  • Treatment of hyperthyroidism during pregnancy is very important for mother and baby. The drug propylthiouracil is considered to be the safest choice, although the dose must be closely monitored. Radioactive iodine should never be given during pregnancy, and surgery will be avoided.
  • Postpartum thyroiditis
    One in every 20 women develop an inflammation of the thyroid tissue a few months after delivery of a baby, and this condition is known as postpartum thyroiditis. The cause is not known, but it could be due to a rebounding of the immune system after the birth of a child. Levels of antithyroid antibodies are at their highest five to seven months postpartum, and don't return to normal until about one year.

    This condition may cause hyperthyroidism followed by temporary hypothyroidism. It is easy for the symptoms to be missed in a new mother who will probably already be tired, sleepless and anxious.

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    This iVillage Health service area is designed for educational purposes only. You should not rely on this information as a substitute for personal medical attention, diagnosis or hands-on treatment. If you are concerned about your health or that of a child, please consult your family's health provider immediately and do not wait for a response from our professionals. For the full Disclaimer, click here.
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