Thyroid disorders in subfertility and early pregnancy
Disorders of thyroid function are common in pregnancy and have implications for foetal and maternal health. Thyroid autoimmunity, as evidenced by the presence of elevated levels of anti-thyroid antibodies (anti-TPO and anti-Tg antibodies) is associated with an increased risk of miscarriage, though t...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2020-10-01
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| Series: | Therapeutic Advances in Endocrinology and Metabolism |
| Online Access: | https://doi.org/10.1177/2042018820945855 |
| _version_ | 1818891847015071744 |
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| author | Samantha Anandappa Mamta Joshi Lukasz Polanski Paul V. Carroll |
| author_facet | Samantha Anandappa Mamta Joshi Lukasz Polanski Paul V. Carroll |
| author_sort | Samantha Anandappa |
| collection | DOAJ |
| description | Disorders of thyroid function are common in pregnancy and have implications for foetal and maternal health. Thyroid autoimmunity, as evidenced by the presence of elevated levels of anti-thyroid antibodies (anti-TPO and anti-Tg antibodies) is associated with an increased risk of miscarriage, though the mechanism remains poorly understood. There has been considerable focus on the implications and optimal management of pregnant women with thyroid disease, especially those undergoing assisted reproduction. Pregnancy results in significant changes in thyroid physiology and these need to be understood by clinicians involved in the care of pregnant women. Guidelines for the use of thyroxine and target thyroid function tests have been produced by international bodies but it is recognised that these predominantly reflect expert opinion rather than established evidence-based practice. Importantly a number of key clinical trials have been performed to aid understanding, particularly of the consequences of hypothyroidism for mother and baby, and the effectiveness of thyroid hormone use in autoimmune and subclinical hypothyroidism. This review summarises the current knowledge base and guidance for practice relating to thyroid disorders in pregnancy and subfertility. |
| first_indexed | 2024-12-19T17:47:18Z |
| format | Article |
| id | doaj.art-a349994766844c57ae01e706f48528ae |
| institution | Directory Open Access Journal |
| issn | 2042-0196 |
| language | English |
| last_indexed | 2024-12-19T17:47:18Z |
| publishDate | 2020-10-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Therapeutic Advances in Endocrinology and Metabolism |
| spelling | doaj.art-a349994766844c57ae01e706f48528ae2022-12-21T20:12:01ZengSAGE PublishingTherapeutic Advances in Endocrinology and Metabolism2042-01962020-10-011110.1177/2042018820945855Thyroid disorders in subfertility and early pregnancySamantha AnandappaMamta JoshiLukasz PolanskiPaul V. CarrollDisorders of thyroid function are common in pregnancy and have implications for foetal and maternal health. Thyroid autoimmunity, as evidenced by the presence of elevated levels of anti-thyroid antibodies (anti-TPO and anti-Tg antibodies) is associated with an increased risk of miscarriage, though the mechanism remains poorly understood. There has been considerable focus on the implications and optimal management of pregnant women with thyroid disease, especially those undergoing assisted reproduction. Pregnancy results in significant changes in thyroid physiology and these need to be understood by clinicians involved in the care of pregnant women. Guidelines for the use of thyroxine and target thyroid function tests have been produced by international bodies but it is recognised that these predominantly reflect expert opinion rather than established evidence-based practice. Importantly a number of key clinical trials have been performed to aid understanding, particularly of the consequences of hypothyroidism for mother and baby, and the effectiveness of thyroid hormone use in autoimmune and subclinical hypothyroidism. This review summarises the current knowledge base and guidance for practice relating to thyroid disorders in pregnancy and subfertility.https://doi.org/10.1177/2042018820945855 |
| spellingShingle | Samantha Anandappa Mamta Joshi Lukasz Polanski Paul V. Carroll Thyroid disorders in subfertility and early pregnancy Therapeutic Advances in Endocrinology and Metabolism |
| title | Thyroid disorders in subfertility and early pregnancy |
| title_full | Thyroid disorders in subfertility and early pregnancy |
| title_fullStr | Thyroid disorders in subfertility and early pregnancy |
| title_full_unstemmed | Thyroid disorders in subfertility and early pregnancy |
| title_short | Thyroid disorders in subfertility and early pregnancy |
| title_sort | thyroid disorders in subfertility and early pregnancy |
| url | https://doi.org/10.1177/2042018820945855 |
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