There is no need to consult a doctor about the thyroid if pregnancy is desired.
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If a pregnancy is being planned, a doctor should be consulted. It is recommended by some experts that the Thyroid Stimulating Hormone (TSH) level should be kept in the lower half of the reference range before pregnancy to reduce the risk of miscarriage. If you are suffering from hypothyroidism, which is under secretion of thyroid hormone, the levothyroxine dosage should be increased and adjusted by conducting a thyroid function test. Or if you are suffering from hyperthyroidism, carbimazole and propylthiouracil should be used and later levothyroxine during pregnancy. Thyroid test is crucial while planning for pregnancy and during pregnancy as well.
What are the important medication available during pregnancy to cope with thyroid problems?
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Undiagnosed thyroid disorders make it very hard to conceive a child. Not only that, the unusual activities of the thyroid can cause problems during pregnancy itself. Once the over-active or under-active thyroid is treated and brought under proper medical treatment, there could be no reason not to have a successful pregnancy and a healthy baby. Regular blood tests should be taken throughout your pregnancy so that the dosage of the above medicines could be adjusted if necessary. Thyroid function testing prior to pregnancy is absolutely necessary.
Thyroid medication has serious side effects.
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The drugs that are related to controlling the thyroid hormone level in your blood stream rarely has serious side effects. However, sometimes agranulocytosis (lowering of the number of white blood cells) and severe liver impairment can be caused, though in rare cases. It is even safe to breastfeed while taking levothyroxine. Ensure that thyroid levels are monitored throughout pregnancy.
You should undergo thyroid surgery for pregnancy if you have thyroid problems
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In rare cases are thyroid surgery required. If it is absolutely needed, surgery should be performed ideally during the middle three months of pregnancy. Radioactive iodine is yet another treatment for hyperthyroidism. But it is never used during pregnancy. Thyroid surgery becomes essential only when there are chances of thyroid cancer. It is a good idea to maintain your diet properly according to the doctor's recommendation.
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