Thyroid Disease and Pregnancy Fertility
The thyroid disease is a primary gland of the endocrine system found at the front of the neck, the thyroid gland manages iodine to generate specific thyroid hormones. These hormones control energy and metabolism in your body completely.
When the thyroid gland doesn’t generate enough of these hormones then it is called as Hypothyroidism, Taking the right dose of thyroxin, the hormone you lack, can restore your fertility. When the gland overproduces thyroid hormones then it is called as Hyperthyroidism. Thyroid has been found to one of the major causes for Infertility. Up to 5% of the women who have trouble conceiving turn out to have unusual thyroid levels.
Despite the fact that the thyroid gland is not a part of the reproductive system, the hormones it controls can have an influence on your fertility.
Common symptoms of hypothyroidism are:
- Weight gain
- Constantly feeling cold
Common Symptoms of hyperthyroidism:
- Getting easily heated
- Abnormal weight loss
How can thyroid affect your fertility?
There are a number of important risk factors that can affect your fertility due to unidentified, untreated, or incorrectly treated thyroid disease.
Here are some of the following:
- The anovulatory cycle is a menstrual cycle where the egg is not released and are more general in women with hypothyroidism
- Hypothyroidism when undertreated or untreated particularly throughout the first trimester is related to an increased risk of initial miscarriage
- Higher thyroid antibodies are linked with an increased risk of infertility, along with an increased risk of initial miscarriage
- Thyroid disorder, when left untreated or undertreated, can also affect your assisted reproductive treatments and can make fertility treatments less successful.
According to Dr. Shweta Goswami, most women don’t understand that optimal thyroid function is important not only to become pregnant naturally but also with the support of assisted reproduction. Thyroid helps sustain hormonal balance and aides in the crucial early days and first trimester. Your doctor should check the level every fourth week during your first three month of pregnancy, later during the 16th and then 28th weeks of pregnancy.
On the basis of optimal fertility, evident hypothyroidism— defined as a TSH level above 10 mIU/L—must be treated with thyroid hormone replacement drugs.
If a woman develops hypothyroid before pregnancy, Medical directions recommend that the dosage is given to maintain the TSH below 2.5 mIU/L through the first trimester. Throughout the second trimester, the TSH level should be kept at a level of between 0.2 to 3.0 mIU/L, and 0.3 to 3.0 mIU/L in the third trimester.
If these levels are outside the range suggested, it could increase the risk of miscarriage, prematurity, and mental and other concerns after childbirth.
If you are facing infertility or planning assisted reproduction, one decisive area of investigation should be your thyroid health. If you face any fertility challenges related to Thyroid Dysfunction, get in touch with Our Infertility Specialist Dr. Shweta Goswami, Zeeva Fertility +91 93159 18149 .