Why is it difficult to get pregnant with hypothyroidism?

Why is it difficult to get pregnant with hypothyroidism?

Many married couples think that it is better to have children naturally, and they usually do not take any contraceptive measures. However, there is no good news after a long time. Many couples in this situation go to the hospital for examination and are told that they have hypothyroidism. At this time, the attending physician will advise the patient to prepare for having a child after curing the hypothyroidism. Many people do not understand why it is difficult to get pregnant with hypothyroidism. Let's take a look at the following content~

1. Can I have children if I have hypothyroidism?

Hypothyroidism is the opposite disease of hyperthyroidism, but both can cause great harm to us. Many women of childbearing age want to know whether they can have children if they suffer from hypothyroidism? Or whether it will affect fertility, etc.

The full name of hypothyroidism is hypothyroidism. Unlike simple goiter, it is not caused by iodine deficiency. The cause of hypothyroidism may be related to autoimmunity. Hypothyroidism carries certain risks. If a pregnant woman suffers from hypothyroidism, the child she gives birth to may also suffer from congenital hypothyroidism, which will also have a certain impact on the child's intellectual development.

Pregnancy with hypothyroidism is prone to cause miscarriage or stillbirth. Female patients with hypothyroidism often have excessive and frequent menstruation. If not treated, it can also lead to infertility. When hypothyroidism occurs, the incidence of low birth weight and premature babies increases, and the neonatal and perinatal mortality rate increases. Hyperthyroidism is an endocrine disease with a certain genetic tendency. There are certain risks for patients with hypothyroidism to give birth to children, and the probability of hyperthyroidism in the offspring of patients with hypothyroidism is higher than that of the normal population. The course of hypothyroidism is long, and long-term use of thyroid drugs will have adverse effects on the fetus, such as congenital hyperthyroidism. Expert advice: Consider fertility issues after treatment is completed. From the perspective of medicine and eugenics, childbearing during hypothyroidism is very disadvantageous to both the mother and the fetus.

For the sake of your and your child's health, you should wait until hypothyroidism is completely recovered before having a child. After becoming ill, you should seek treatment as soon as possible and do not delay treatment. After all, hypothyroidism in the early stages is easier to cure than in the middle and late stages.

2. Precautions for pregnancy with hypothyroidism

During pregnancy, the thyroid gland undergoes significant physiological changes, mainly manifested in enhanced function. At the same time, the physiological requirement for thyroid hormone increases during pregnancy. Therefore, hypothyroidism often worsens during pregnancy. Hypothyroidism has more negative effects on pregnancy, and can bring adverse consequences to both pregnant women and fetuses, leading to the occurrence of a variety of adverse pregnancy outcomes. Pregnant women with hypothyroidism are most likely to develop complications such as gestational hypertension, miscarriage, premature birth, placental abruption, hypoproteinemia, postpartum hemorrhage and postpartum thyroid function abnormalities. Maternal hypothyroidism affects the development of the fetal nervous system, causing irreversible neurodevelopmental defects and low intelligence in offspring, and can also lead to fetal growth restriction, fetal malformations, stillbirth, etc.

Clinical practice has shown that for pregnancies complicated by hypothyroidism, thyroid function during pregnancy is the main factor affecting perinatal outcomes. As long as the thyroid hormone level is satisfactorily controlled during pregnancy and the thyroid function is basically normal, the prognosis for the mother and child is mostly good. Otherwise, the complications for the mother and child will increase significantly. It is very important to monitor maternal thyroid function before and during pregnancy and provide timely and appropriate treatment. The treatment of hypothyroidism largely determines the outcome of pregnancy.

Patients should be diagnosed and treated jointly by obstetricians and endocrinologists, and patients with hypothyroidism should consider pregnancy after their thyroid function returns to normal. It is recommended to create a card for prenatal care early. The blood TSH level should be checked during the first prenatal check-up and then every 6-8 weeks. The normal range of serum TSH in the general population is mostly 0.3-5.0mU/L, and TSH during pregnancy should be controlled below 2.5mU/L. FT4 remains in the upper 1/3 of the normal range for non-pregnant women. According to the TSH and FT4 levels, the dosage of replacement technology should be appropriately adjusted to ensure timely and sufficient supplementation of exogenous thyroid hormones to correct the deficiency of maternal thyroid hormone levels.

Routine care: symptomatic treatment, such as keeping warm, oxygen inhalation, paying attention to rest, increasing protein intake, appropriately limiting fat and cholesterol intake, increasing high-fiber diet to prevent constipation, preventing colds, etc. If the area is iodine-deficient, patients can eat iodized salt and iodized food. Thyroid tablets should be taken at least 2 hours apart from iron, calcium and vitamin supplements.

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