Managing Thyroid Disease During Pregnancy

Written for by Alex Stagnaro-Green, MD, MHPE

Senior Associate Dean for Education
Department of Medicine and Obstetrics/Gynecology
George Washington University School of Medicine & Health Sciences

Financial Disclosure: Alex Stagnaro-Green, MD, MPH, has indicated to Physician’s Weekly that he has no financial disclosures to report.

The effects of pregnancy on the thyroid gland are profound. The gland is required to produce a 50% increase in thyroxine (T4) and triiodothyronine (T3). While a healthy thyroid should respond well to pregnancy, women with limited thyroidal reserve or iodine deficiency who become pregnant can develop hypothyroidism.

“Women in high-risk groups need to be tested as early as possible for hypothyroidism during the first trimester.”

Knowledge about the interaction between the thyroid gland and pregnancy has exploded over that last 15 to 20 years. In response to the emerging data, the American Thyroid Association (ATA) recently created clinical guidelines on the diagnosis and treatment of thyroid disease during pregnancy and postpartum. They were published in the October 2011 issue of Thyroid.

Continue reading

No Comments.

Leave a Reply



Time limit is exhausted. Please reload the CAPTCHA.