Can I get pregnant with hyperthyroidism?

Hyperthyroidism is a common thyroid disease, which is mainly caused by abnormal secretion of thyroid hormones. We need to treat the symptoms of hyperthyroidism, so it is recommended that female friends, if you want to conceive, it is best to check your physical condition and treat the symptoms of hyperthyroidism before preparing for conception. It is possible to get pregnant and have children while having symptoms of hyperthyroidism, but it can easily cause miscarriage or premature birth. I hope everyone can pay attention to this.

Can I have children with hyperthyroidism?

Women with hyperthyroidism can become pregnant and have children, but they should not become pregnant before the hyperthyroidism is cured.

If hyperthyroidism is not well controlled, the miscarriage rate can be as high as 26% and the premature birth rate can be as high as 15%. At the same time, if there is a slight deviation in the drug treatment of hyperthyroidism, it can also cause fetal hyperthyroidism, fetal thyroid enlargement, or even fetal hypothyroidism, affecting the fetal brain development and easily causing miscarriage, premature birth, and stillbirth.

Pregnancy itself will inevitably increase the physical and mental burden on women, increase the circulatory burden, and increase the incidence of gestational hypertension by 10 times, affecting the recovery of hyperthyroidism, and even aggravating hyperthyroidism and inducing thyroid crisis, which is life-threatening.

Therefore, women with hyperthyroidism should not rush to get pregnant. They should first actively treat the hyperthyroidism and then consider pregnancy after the hyperthyroidism is cured.

Usually, antithyroid drug treatment takes at least 1.5 to 2 years to cure, and it is necessary to observe for about half a year after stopping the medication. If there is no sign of recurrence, you can consider pregnancy. If radioactive iodine is used to treat hyperthyroidism, pregnancy can be considered if thyroid function returns to normal six months later; if hyperthyroidism is treated surgically, pregnancy can be considered if there is no recurrence of the disease three months after the operation.

It is best for patients with hyperthyroidism to choose to get pregnant after the disease is cured, which is also for the health of the child. At the same time, patients with hyperthyroidism must persist in physical exercise for a long time, enhance their body's resistance, develop good eating habits, and avoid eating spicy and irritating foods.