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Hypothyroidism During Pregnancy

One of the most common thyroid problems that occurs during pregnancy is that of hypothyroidism. Outside of pregnancy, hypothyroidism can cause a variety of changes in the menstrual cycle such as irregularity, heavy periods, or loss of periods. If it is severe, it creates the potential for infertility or problems becoming pregnant. In fact, checking thyroid gland function by performing a simple blood test is an integral aspect when evaluating a woman who is having difficulty becoming pregnant. However, treating a woman suffering from infertility with thyroid hormones when blood tests are normal is of no benefit whatsoever, and may, in fact, cause other problems.

One of the problems with hypothyroidism during pregnancy is that some of the symptoms such as weight gain and tiredness already exist with a high rate of frequency during pregnancy. Because of that, hypothyroidism is often overlooked as a possible cause of those particular symptoms during pregnancy. A blood test that measures the TSH level can determine if the cause of the symptoms is related to hypothyroidism or are pregnancy-related symptoms.

Because thyroid medications are identical to the thyroid hormone that the body’s thyroid gland makes naturally, they are quite safe for a pregnant woman with hypothyroidism to take during pregnancy. The replacement hormones that are required to treat the disease do not have any side effects for the mother or the baby as long as the proper doses are used. Even if hypothyroidism is not detected in the mother during pregnancy, it will not cause abnormal development of the thyroid in the developing baby.

One important thing for a pregnant woman with hypothyroidism to remember is that if you were previously treated for the condition, you will possibly need a higher dosage during pregnancy. It will be necessary for her to communicate with her doctor periodically throughout the pregnancy to determine if the medication dosage needs adjusted. In addition, tests to review thyroid function should be administered every two to three months of the pregnancy.

After the birth of the baby, the thyroid hormone dosage should return to the dosage that the woman was taking prior to pregnancy and a review of thyroid function tests performed every two months. Of course, this is part of the course of routine treatment for any case of hypothyroidism, not just post-partum.

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