Many women planning to expand their family worry that their overactive thyroid might negatively affect their fertility and lower their odds of getting pregnant. Although hyperthyroidism in pregnancy requires thorough treatment and close monitoring to prevent serious complications, the good news is that most women with thyroid disease go on to have safe pregnancies.
Keep on reading to find out what to include in your pre-pregnancy action plan that can help you get pregnant and bring your baby to term without difficulties.
The most common cause of hyperthyroidism is an autoimmune condition, called Graves' disease. It triggers the body to produce an antibody, called thyroid-stimulating immunoglobulin (TSI), which leads to an overproduction of thyroid hormone. So, women with hyperthyroidism have high levels of thyroid hormones and low TSH (thyroid stimulating hormones).
The symptoms of an overactive thyroid might include chest palpitations, heat intolerance, unintentional weight loss, and mood swings.
Getting pregnant with hyperthyroidism might be challenging for some women because thyroid hormones are necessary for the proper functioning of the ovaries and the maturation of the egg. Their imbalance might cause:
Menstrual cycle abnormalities, such as infrequent, long, or heavy periods, might make it more difficult to get pregnant.
Ovulation disturbance might occur even if a woman has regular periods and might lead to infertility.
An overactive thyroid during pregnancy can increase the risk of a thyroid storm, an abrupt and potentially life-threatening worsening of the symptoms. Maternal hyperthyroidism that was treated with radioactive iodine or surgery can sometimes result in fetal hyperthyroidism because the antibodies might cross the placenta.
High thyroid levels during pregnancy can also impair baby's growth, leading to low birth-weight, tachycardia, and thyroid dysfunction.
Uncontrolled hyperthyroidism might lead to preeclampsia, maternal heart failure, preterm delivery, miscarriage, or stillbirth.
Your goal before getting pregnant is to stabilize your thyroid and reproductive hormones to regulate your menstruation and increase your chances of getting pregnant.
In most cases, managing hyperthyroidism involves one of the following treatment options:
Antithyroid medications can effectively balance thyroid hormones, but have to be carefully selected as some might be harmful during pregnancy.
Radioactive iodine is used to destroy the thyroid gland so it does not overproduce hormones. After radioactive iodine treatment, pregnancy should be delayed for six to 12 months to prevent serious complications.
Surgical removal of the thyroid gland or its parts leads to hypothyroidism, which is generally easier to manage with medications.
Keep a low iodine diet to provide your body with necessary nutrients, prepare it for pregnancy, and minimize the symptoms of hyperthyroidism. Focus on the following foods:
Cruciferous foods can help suppress an overactive thyroid gland: broccoli, kale, cauliflower, or cabbage
Phytoestrogenic foods can balance reproductive hormones and boost fertility: tomatoes, flaxseeds, and lentils
Vitamin D-rich foods can nurture the thyroid gland and improve your fecundity: salmon, mushrooms, and eggs
Omega-3-packed foods are beneficial for conception and support the thyroid gland: nuts, avocado, and sacha inchi oil
Lean protein can prevent weight loss due to hyperthyroidism and sustain muscle mass: turkey and cooked, low-in-mercury fish, like salmon or catfish
Diary in moderate amounts will strengthen the bones and prevent thyroid-induced osteoporosis: full-fat yogurt, milk, or cottage cheese
Plenty of water will improve your cervical mucus and enhance conception.
Avoid soy products, such as soy milk or tofu, as they have been shown to worsen the symptoms of hyperthyroidism and interfere with radioactive iodine treatment.
Prenatal vitamins are full of essential nutrients, such as folic acid, needed to prepare your body for conception and support a healthy pregnancy. Learn more about prenatal vitamins.
Hormone-regulating supplements, such as Macafem, can boost your libido, alleviate hormonal imbalance, and increase your odds of getting pregnant.
CoQ10 has been found helpful in boosting fertility and nurturing the thyroid gland.
B-complex, particularly vitamin B12, can alleviate the symptoms of an overactive thyroid.
L-carnitine might be effective in reducing the symptoms of hyperthyroidism and improve fertility.
Exercise is beneficial in managing hyperthyroidism and improving fertility as it increases blood flow to key reproductive organs.
Quit alcohol and cigarettes to avoid pregnancy complications.
Limit your intake of coffee and other caffeinated beverages to prevent a rapid heartbeat.
Acupuncture has shown effective in treating imbalances of reproductive and thyroid hormones.
You can start your attempts to conceive when your thyroid hormone levels are stable and within a normal range. For some couples, it can take several ovulation cycles. So, to get through this time with ease, remember the following:
Stress leads to elevated cortisol levels, which can inhibit your fertility. So, find your optimal way to reduce anxiety and stay calm through yoga, massage, or finding a hobby.
Stay active, spend time outdoors, and surround yourself with friends and family for emotional support.
Focus on foods that improve egg's health and ovulation, such as berries, pumpkin and sesame seeds, salmon, and dark leafy veggies.
Thyroid hormones naturally increase during pregnancy. So, it is imperative to maintain regular doctor's check-ups, undergo a thyroid function test, and make medication adjustments, if necessary.
Maintain your preconception action plan, get enough rest, and consider prenatal yoga to keep your stress levels in check.
Undeniably, hyperthyroidism and getting pregnant are challenging topics for the mothers-to-be as well as their doctors. The risk of complications often forces women to delay their pregnancies and increases their anxiety, both of which negatively affect their chances of conception. But current medicine offers numerous solutions for hyperthyroid females, which -when combined with a thyroid-supporting diet and supplements like Macafem - can prevent their disorder from restricting their chances for motherhood.
A better understanding of how your body works will help you cope with hormonal fluctuations.
Detecting symptoms of hormonal imbalance can prevent you from developing serious conditions.
Implement simple lifestyle changes and natural approaches to prevent, manage, and relieve symptoms.