What Is Hypothyroidism And How Does It Affect Conception

What Is Hypothyroidism And How Does It Affect Conception
What Is Hypothyroidism And How Does It Affect Conception

Video: What Is Hypothyroidism And How Does It Affect Conception

Video: Dr. Shweta Goswami explains: Does thyroid affect fertility? 2022, November

The birth of a child is a long-awaited event in every family. But sometimes a woman never succeeds in getting pregnant for years. In such cases, it is recommended to examine not only the reproductive systems of potential parents, but also the thyroid gland. "Letidor" shares a publication by Natalia Zubareva, an endocrinologist and a blogger known on Instagram, in which she explains in detail what hypothyroidism is, what symptoms and on the basis of what tests can be used to diagnose and why thyroid gland treatment is necessary at the stage planning pregnancy.


Understanding Hypothyroidism The thyroid gland is an incredibly important organ in a woman's life. Hypothyroidism is a syndrome that develops when the concentration of thyroid hormones is low. There are a lot of etiological factors in the development of the disease, including the psychosomatic moment.

Psychotherapists call hypothyroidism a disease of broken dreams and unfulfilled plans, when a person loses interest in what is happening.

This is a fairly common pathology. Every second patient of mine has an imbalance in thyroid hormones. According to the American Thyroid Association, about 20 million Americans suffer from some form of metabolic queen disease, and 8 out of 10 patients are women.

Symptoms of hypothyroidism In pregnant women, hypothyroidism is rare. Why? Because it is detected, as a rule, late, since the picture of the disease is too blurred and looks more like symptoms of overwork.

With hypothyroidism, it is difficult to become pregnant, infertility develops, hence the statistics on the detection of this disease in pregnant women.

Here's how to suspect that you have problems with your thyroid gland:

you are incredibly irritable. You may not have previously been distinguished by an agreeable character, but now everything that somehow goes against your opinion or desire, causes a storm of emotions that you are not able to control;

frequent mood swings. And not just frequent, but sharp: she cried, immediately laughed, cried again. This is a typical sign of hyperthyroidism (a syndrome with a high concentration of thyroid hormones).

It is as if several personalities live in you at once, which switch to one another;

did not have time to wake up, already tired;

constant weakness, apathy, depressed mood;

your weight is stuck to the spot, despite eating right in a sensible calorie deficit. Or the weight jumps out of the blue - plus or minus 5 kg. It may not be fat, but swelling, to which those who have thyroid disorders are prone;

hair loss, brittle nails, dry skin;

menstrual irregularities.

Why hypothyroidism is dangerous during pregnancy During pregnancy, a woman's healthy thyroid gland experiences overload, which can become a trigger in the development of hypothyroidism. During pregnancy with hypothyroidism, the central nervous system of the fetus will develop in conditions of hormone deficiency, since in the first months the thyroid gland of the fetus does not function, but develops only due to maternal hormones. Under the condition of insufficient thyroid function in a pregnant gland, the gland does not develop properly, which is fraught with consequences in the future both for carrying a pregnancy and for the fetus itself. That is why it is extremely important to diagnose, identify and compensate for thyroid hormone deficiency.

What tests need to be passed to the expectant mother Examination of a pregnant woman, as well as a woman planning a pregnancy, is prescribed on the basis of clinical protocols. When registering, the examination is carried out according to the protocols.I have my own clinical minimum, according to which I examine a woman who is in the stage of preparing for pregnancy. Ideally, the examination is carried out at the stage of pregnancy planning (at least 3 months before its onset). On the 3-5th day of the cycle:

general blood test, coagulogram;

total protein and fractions;

lipid spectrum: cholesterol, atherogenic coefficient, HDL, LDL, triglycerides; serum iron, ferritin, vitamin D - 25 (OH);

glucose and insulin;

TTG and T4 sv, also T3 and AT-TPO;

prolactin, cortisol;

FSH, LH, testosterone;

fluorography, ultrasound of the mammary glands;

On day 21 of the cycle:


For vegetarians and raw foodists, all of the above is obligatory: - control of the UAC (complete blood count);

analysis of hair, namely hair, for trace elements.

Examinations for future dads In principle, it will not hurt everyone to pass an analysis for trace elements. I would also like to say that at the planning stage of pregnancy, it is important to examine the future father. It is important to study the lipid spectrum, spermogram and the level of male sex hormones. Thyroid indicators (T3, T4, TSH, AT-TPO) are required for examination in men, although the male sex, however, is less likely to be exposed to diseases of this group, but, nevertheless, men also have it, and its dysfunction can affect ability to conceive.

Men can get tested for hormones on any of the days, unlike women.

The hormonal background affects the ability of not only women, but also men to conceive, as this determines the body's ability to produce viable healthy germ cells. Clinical minimum for examination of the future father:

glucose, insulin;

TTG and T4 sv, also T3 and AT-TPO;


LH (luteinizing hormone), testosterone;

complete blood count + serum iron;


As you can see, hormone tests are included in the clinical minimum in both men and women.

Their results will help to identify violations of carbohydrate and lipid metabolism, indicate violations in the hypothalamic - pituitary-adrenal axis.

What will happen after childbirth After childbirth, the restoration of hormonal levels is a long process, it depends on many factors: the daily routine, the diet of the young mother, sleep patterns, environmental conditions, psycho-emotional state. To normalize the hormonal background after childbirth, you need a proper sleep and nutrition regime, the absence of psychoemotional overload, which is very difficult in the first months after childbirth. The hormonal background is restored after childbirth for a long time, and finally "comes to life" a couple of months after the completion of breastfeeding. If hypothyroidism was detected during pregnancy or even before its onset, hormone levels should be monitored no later than two months after childbirth..com Let's be friends on social networks! Subscribe to us on Facebook, VKontakte and Odnoklassniki!

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