"Sister Ping, I checked out hypothyroidism before and am eating Youjiale, can this Yujiale always eat?" What if you want to get pregnant? ”
Jiajia raised these questions when chatting with Sister Ping. In this regard, Sister Ping has also communicated with some doctor friends, mainly to Jiajia some suggestions on pregnancy preparation. Now, with Jiajia's consent, share her experience with everyone.
Jiajia has been married for 2 years, married at the age of 30, and has been preparing for pregnancy for about a year. Jiajia's menstrual cycle has not been very regular, more than thirty days, more than fifty days, originally thought it was a problem of irregular menstruation, thinking about whether to adjust menstruation while preparing for pregnancy. But after more than a year of not being pregnant, Jiajia finally remembered to go for a comprehensive preconception test.
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It turned out that there were abnormalities in her thyroid function.
The report showed that TSH (thyroid-stimulating hormone) 5.09uIU/ml, the initial diagnosis was "hypothyroidism" (abbreviated hypothyroidism), and the doctor prescribed levothyroxine sodium tablets (commonly known as "Yomethylol") for hypothyroid replacement therapy.
Jiajia began to take medicine according to the doctor's instructions, while preparing for pregnancy, but now that she has been taking medicine for half a year, she has not gone to review the jiagong, and the pregnancy preparation is still not successful.
With the passage of time, the increase in age, the physical condition has not seen a significant improvement, the elderly pregnancy and fertility problems of care and urging, Jiajia feels more and more pressure, especially when she has checked the data that hypothyroidism may require lifelong medicine, Jiajia is more panicked.
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Is it because I can't get pregnant for so long because of hypothyroidism?
Will there be any side effects of eating Yogale all the time? Will it affect pregnancy preparation?
Do you want to stop the drug in preparation for pregnancy, and if you are pregnant, do you want to stop the drug?
With a bunch of questions, Jiajia came to find Sister Ping, hoping that I could give her some advice.
I have hypothyroidism and want to get pregnant, what should I do?
Next, Sister Ping answered for everyone.
Is it because I can't get pregnant for so long because of hypothyroidism?
As one of the important endocrine organs that regulate the body's metabolism, the thyroid gland can be said to be closely related to female reproductive function.
Hyperthyroidism, hypothyroidism, and autoimmune thyroid disease are all thyroid dysfunctions. Once the thyroid function is disturbed, it may affect the secretion of sex hormones and ovarian function, which further develops into menstrual disorders, ovulation disorders, ovarian dysfunction, infertility, and pregnancy complications.
Among them, we mainly talk about hypothyroidism (referred to as hypothyroidism) is an endocrine disease caused by a decrease in thyroid synthesis and secretion, and a decrease in the body's metabolic activity. Its hormone secretion is characterized by an increase in serum total T4 and FT4, and T3 may also be reduced, and feedback causes an increase in TSH.
Women with hypothyroidism are relatively difficult to conceive, and during pregnancy, hypothyroidism will have different degrees of impact on pregnancy outcomes and fetuses, such as spontaneous abortion, fetal growth restriction (FGR), stillbirth, the incidence of congenital malformations in newborns will increase, and it is also easy to cause gestational hypertension, gestational diabetes, etc.
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According to Jiajia's hormone report, she belongs to the subclinical hypothyroidism (abbreviated hypothyroidism), which means that the serum TSH level exceeds the upper limit of the normal reference value, while the serum FT4 and FT3 levels are within the normal reference range.
Because patients with hypothyroidism have no obvious manifestations, it is easy to miss the diagnosis, and if the disease is not treated in time, it is easy to develop into a clinical type of hypothyroidism. Relevant data show that methylene methoxide occurs more frequently in infertile patients, and most of them are accompanied by ovulation disorders.
If Jiajia hadn't gone for the relevant tests because of her long-term infertility, she probably wouldn't have known that her thyroid was wrong.
Therefore, Sister Ping reminds the sisters here that when they are prepared for infertility for a long time, they must be checked in time.
How to treat hypothyroidism?
After hypothyroidism, the body's metabolism will continue to decrease, and obvious discomfort will begin to appear, fatigue, drowsiness, chills, constipation, and then symptoms such as sluggish response, indifferent expression, hair loss, low appetite, increased body mass and dry skin.
If not diagnosed and treated in time, let it worsen, and may even cause death, most hypothyroidism can not be cured, patients usually need to take medicine for life to protect health, even if the test results are normal can not stop the drug, the principle of hypothyroidism treatment is what is missing, how much is missing, so it must be adhered to.
If a person who has been diagnosed with clinical hypothyroidism or subclinical hypothyroidism before pregnancy should immediately start treatment under the guidance of a doctor, review the thyroid function regularly after taking the drug, adjust the dosage, and control the serum TSH to
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Do you want to eat it all the time?
Many people think that pregnancy and pregnancy can not take medicine without taking medicine, it is a three-point poison of medicine, which is indeed reasonable. However, the specific situation is analyzed on a case-by-case basi For hypothyroid patients like Jiajia, taking Youjiale not only cannot be stopped during pregnancy, but also after pregnancy.
During pregnancy, patients with hypothyroidism need to check thyroid function regularly and take the appropriate dose of levothyroxine sodium tablets under the guidance of a doctor to adjust thyroid function to the most suitable state for pregnancy.
After pregnancy, it is also necessary to gradually increase the dosage of Yomethylol with the increase of pregnancy, which requires doctors to adjust the dose in time according to the serum TSH treatment goal to improve the health of pregnant women and maintain the health of the fetus.
Image source: Guangzhou Wanfu Health Technology Co., Ltd
Therefore, according to Jiajia's situation, Pingjie's suggestion:
1. Adhere to the doctor's instructions to take Youjiale for treatment, and regularly review the nail function to confirm the hypothyroidism;
2. If the TSH control situation is good, you can take the method of ovulation test strip with B ultrasound to detect ovulation, find the same room on the day of ovulation, and improve the probability of good pregnancy.
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DONG Xia. Clinical value of Youjiale in the treatment of perinagnant hypothyroidism[J].Chinese Journal of Practical Medicine,2019,14(14):147-149.
Yang Jing,Ni Yuan,Sun Wei. Research progress on the relationship between thyroid function and related diseases and female reproduction[J].Chinese Journal of Sexuality,2016,25(04):141-144.