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
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
Thyroid, pregnancy, thyreoiditis, iodine supplementation,
Kai J. Bühling
Klinik und Poliklinik für Gynäkologie,
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