The second most common endocrine disorder affecting women of reproductive age is Thyroid disease. When it is untreated during pregnancy is associated with a higher risk of miscarriage, placental abruption, hypertensive disorders, and growth restriction. According to the current guidelines it is recommended that recommend targeted screening of women at high vulnerability, including those with a history of thyroid disease, type 1 diabetes mellitus, or other autoimmune diseases; current or past use of thyroid therapy; or a family history of autoimmune thyroid disease.
Appropriate management leads to better outcomes, emphasising the significance of proper diagnosis and treatment. Levothyroxine is titrated in hypothyroid women to achieve a serum thyroid-stimulating hormone level less than 2.5 mIU per L. Antithyroid medications are the preferred treatment for hyperthyroidism, with the goal of keeping serum free thyroxine levels in the upper one-third of the normal range.
In an exclusive interaction with Healthwire, Dr. Rita Bakshi Sr. Consultant, Infertility Specialist & Endoscopy Surgeon specializes in infertility & Endoscopy Surgery explained the problems related to Thyroid and pregnancy:
“Thyroid is a small gland in front of the neck and this is a butterfly-shaped gland, although it is small the hormone is very important in every aspect of the body. The metabolism, fertility, pregnancy, baby, post-partum and in every single manner thyroid plays a very important role. When an infertile couple walks in our clinic, we always get their thyroid checked that is T3, T4, TSH that’s the basic and by doing this we want to see what kind of Thyroid it is, whether it is clinical or non-clinical, so Thyroid is, all in all, is a very important gland for reproductive system,” Dr Rita Bakshi.