For online/offline paid consultation appointment wa.me/919987829999

Hindi language video link https://youtu.be/5N8X5RNhOg0
Thyroid and fertility by Endocrinologist Dr Tanvi Mayur Patel
0:00 Introduction
0:47 link for hindi language
1:11 thyroid and fertility
2:41 Can you get pregnant with a thyroid condition?
3:33 thyroid and periods
4:22 Anovulation
5:25 luteal phase defect
8:00 prolactin and thyroid
8:12 other hormone defects with thyroid
9:01 basal body temperature and thyroid
11:40 thyroid issue in men
12:44 complication during pregnancy
13:35 complication in child
14:55 women with high risk for thyroid
16:33 hypothyroidism treatment
18:01 planning for pregnancy if thyroid issue
24:26 sub clinical hypothyroidism

12% people have thyroid issue and 2 to 4 percent of childbearing age women have thyroid issues.
This means lot of women are affected by the fertility issues caused by hypothyroidism.
Thyroid hormones are important for your general health
If you have an undiagnosed or untreated thyroid condition it may make it
difficult to conceive and problems during pregnancy.
Easiest and simplest way of fertility issues management is of thyroid disease
Can you get pregnant with a thyroid condition?
Absolutely yes
Don't worry and be positive and focus on treatment
thyroid issue can cause Period issues like Amenorrhoea ( periods may stop completely )
Anovulation prevent the release of the egg from the ovary (ovulation).
women who have hypothyroidism may release an egg less frequently or not at all.
luteal phase (the last half of the cycle after ovulation) defect leads to implantation issues. it can cause early miscarriage because of incomplete implantation. Many times in period also miscarriage can happen
high prolactin causes anovulation and infertility.
hormone defects like Low shbg, Low progesterone, High estrogen can occur
thyroid controls basal body temperature
Low t3 can cause low basal body temperature. Embryo cell division needs right basal body temperature. If this gets disturbed than cell division of embryo won't happen and can cause failure of embryo to grow and cause miscarriage
hypothyroidism can lead to fatigue. When you’re fatigued, you may not have much sex and can make it harder to get pregnant.
In Men thyroid can leads to low libido and low sex drive, low sperm count,
sperm quality and motility, making it difficult for the sperm to enter the egg for implantation.
Complications during pregnancy are like Increased risk of anaemia, preeclampsia, stillbirth and miscarriage
Complications in child are like poor physical and mental development, Low birth weight, Premature delivery
every women should you be tested for hypothyroidism before trying to conceive.
The older you are, the more chances you have of hypothyroidism.
high risk women are positive family history of thyroid
irregular menstrual cycle, More than 6 months to conceive, any symptoms of thyroid
Overweight or obese, PCOS, Prolactin issue, Advanced age, Other autoimmune issues, diabetes, History of miscarriage
If hypothyroid issue arises than it can be easily treated, and once you get your thyroid levels back to a normal range, you can become pregnant. Treatment is levothyroxine
It may take a few months to achieve but once it is controlled it is easy to conceive.
When hypothyroidism is the reason for infertility, taking thyroid medication will enable most women to conceive, from as soon as six weeks after treatment. do not self medicate
very important to inform doctor few months in advance for trying for a baby so that you can work together.
To checked thyroid blood levels and Optimise thyroid levels and receive appropriate treatment
Optimise TSH level below 2.5 mIU/L as this has been associated with a lower risk of miscarriage.
Do not stop your current thyroid medication without talking with your doctor.
Many people worry about the effects of medication on their developing foetus.
Being compliant with treatment and monitoring is an essential component to fertility and important for a successful pregnancy.
Iodine is a key nutrient for thyroid hormones. so monitor it. During pregnancy and lactation need is 290mcg.
Vitamin D plays important role in keeping your thyroid healthy. vitamin D may also help to lower thyroid antibodies. Vitamin D is easy to find in supplement form (if you aren’t getting enough from the sun). Selenium is another important nutrient for thyroid health. Macadamia nuts, brazil nut and macadamia nut are an excellent source.
Subclinical hypothyroidism can
Autoimmunity can negatively affect fertility, even when TSH levels are within normal range. immune imbalance indicated by thyroid antibodies can impact fertility by Causing difficulty with fertilisation of the egg, Causing difficulty with implantation, Increasing the risk for miscarriage
presence of antibodies and thyroid hormone levels play an important role in fertility, it is important to work with your doctor.