In cooperation with

Abstract

Thyroid disorders and pregnancy

Even borderline dysfunctions of the thyroid gland may impair female fertility so that many patients get noticeable in the context of infertility treatment. Latent (subclinical) hypothyroidism is found during pregnancy with a frequency of about (0,5-)5% Thyroid disorders are usually treated interdisciplinarily in cooperation with thyroidologists of several subspecialities.The woman should be treated individually according to the cause as well as the aims (fertility?).

Several studies have shown that a maternal hypothyroidism may lower the intelligence of the offspring.Therefore hypothyroid pregnant women should be substituted sufficiency with thyroid hormones.

Furthermore Germany is an iodine deficiency area. An iodine supplement of 100-150 ?g daily is therefore recommended for every pregnant woman to secure a sufficient iodine supply for the pregnant woman and her fetus. Iodine substitution is not recommended in Hyperthyoidism.

CME Prakt Fortbild Gynakol Geburtsmed Gynakol Endokrinol 2010; 6(1): 44-56

Keywords
Thyroid, pregnancy, thyreoiditis, iodine supplementation, review

Kai J. Bühling
Klinik und Poliklinik für Gynäkologie,
Universitätsklinikum Hamburg-Eppendorf,Hamburg

Reviewer: Heinz-G. Bohnet,Hamburg
und Julia Wuttich, Berlin

Bühling K. J. Schilddrüse ... Gynakol Geburtsmed Gynakol Endokrinol 2010;6(1):44-56 publiziert 31.03.10 www.akademos.de/gyn ©akademos Wissenschaftsverlag 2010 ISSN 1614-8533