Thursday, May 24, 2018

Thyroid problem during pregnancy

Thyroid and pregnancy


Hypothyroidism happens when the hypothyroid isn't producing as much thyroid bodily hormone as it should. Hypothyroidism is common in women of reproductive age. Dependant upon its severity, hypothyroidism can cause a wide range of symptoms and can affect all body functions. This, in turn, causes a woman's periods of woman less frequently or to stop completely. A typical cause of hypothyroidism is the presence of elevated levels of anti thyroid antibodies. Failure of the pituitary gland to secrete a hormone to stimulate the thyroid gland is a less common cause of hypothyroidism. Other causes include birth defects, surgical removal of the hypothyroid, irradiation of the gland, or inflammatory conditions. 


Thyroid levels during pregnancy- In an otherwise healthful woman, hypothyroidism may be easily detected by evaluating the levels of TSH in the blood. A high TSH level indicates hypothyroidism. A slightly elevated level indicates a very mild case. A higher number indicates more serious disease and is usually accompanied with a reduction in the level of T3 or T4 in the blood. Sub clinical hypothyroidism: An elevated TSH with a normal T3 and\/or T4 - Overt or clinical hypothyroidism: An elevated TSH and a low T4 and\/or T3 - Hypothyroidism and ovulation problems - Hypothyroidism can cause an ovulation directly or by causing elevation in another bodily hormone called prolactin. 

Prolactin is the bodily hormone utilised by the body to assist with lactation after delivery. The developing fetus can't make its own thyroid bodily hormone until about the 10th week of gestation. In this time, it depends on thyroid bodily hormone production from the mom. Severe hypothyroidism is women that are pregnant, especially in the first trimester, is associated with a host of pregnancy complications including pre-eclampsia, placental abruption, preterm birth, low birth weight and even fetal death. The babies may suffer from neurological impairment, mental retardation, and intellectual impairment during childhood. Fortunately, because women with hypothyroidism do not usually get pregnant, clinical hypothyroidism in pregnancy is very rare, maybe occurs in 1 in 5000 pregnancies. 

A study presented in the year 2007 didn't find any difference in the chances for IVF success if women had untreated subclinical hypothryoidism at the beginning of their IVF cycle. Sub clinical hypothyroidism in pregnancy - If a female has only a slight increase in her TSH and her T4 and T3 levels are normal, there's disagreement about whether these pregnancies are at any higher risk. Sub clinical hypothyroidism is a little more common, occurring in 2-5% of all pregnancies. Some research has suggested that the kids born can have lower IQ scores or impaired psychomotorical development. These studies, which were small and frequently didn't distinguish between clinical and sub clinical hypothyroidism are difficult to interpret. Very lately, researchers published results of the largest study to date of the effects of sub clinical hypothyroidism on pregnancy. Read more here:  https://mammahealth.com

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