Trusted Resources: Evidence & Education
Scientific literature and patient education texts
Graves’ Disease and Pregnancy Planning
source: Graves' Disease & Thyroid Foundation
year: 2010
authors: Giuseppe Barbesino
summary/abstract:Both hypothyroidism and hyperthyroidism can affect fertility. Achieving a euthyroid state may in itself restore normal fertility. Doctors typically recommend that all women with graves’ disease become euthyroid before pregnancy.
Thyroid disorders can impair the health of both you and your baby during pregnancy. Therefore, if you already know that you have Graves’ disease, you should consult with your doctor before trying to conceive.
Some people develop hypothyroidism as a consequence of Graves’ disease treatment with radioactive iodine. If you have hypothyroidism and are taking thyroid hormone, your levels of thyroid hormone and TSH (the pituitary hormone that regulates your thyroid’s function) should be tested before you proceed with a pregnancy. To avoid any damage to the baby’s neurological development early in pregnancy, your daily dose of thyroid hormone should be adjusted to achieve completely normal thyroid function and a TSH level between 0.5 and 2.5 before you conceive.
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