Managing thyroid disease in women planning pregnancy

In this article the five things to know about when managing thyroid disease in women planning pregnancy are presented. These are the following: 1. Women with pre-conception hypothyroidism often require increased levothyroxine once they are pregnant. 2. Women should avoid ingesting levothyroxine with...

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Bibliographic Details
Published inCanadian Medical Association journal (CMAJ) Vol. 189; no. 28; p. E940
Main Authors Yamamoto, Jennifer, Donovan, Lois E
Format Journal Article
LanguageEnglish
Published Canada Joule Inc 17.07.2017
CMA Impact, Inc
Subjects
Adenoma
Antithyroid Agents - therapeutic use
Care and treatment
Diseases
Dosage and administration
Drug dosages
Drug therapy
Endocrinology
Female
Graves' disease
Health aspects
Humans
Hyperthyroidism
Hypothyroidism
Iodine
Levothyroxine
Medical research
Planning
Practice
Pregnancy
Pregnancy Complications - diagnosis
Pregnancy Complications - therapy
Pregnant women
Propylthiouracil
Propylthiouracil - therapeutic use
Thyroid diseases
Thyroid Diseases - diagnosis
Thyroid Diseases - therapy
Thyroxine - therapeutic use
Womens health
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Summary:In this article the five things to know about when managing thyroid disease in women planning pregnancy are presented. These are the following: 1. Women with pre-conception hypothyroidism often require increased levothyroxine once they are pregnant. 2. Women should avoid ingesting levothyroxine with iron- or calcium-containing supplements. 3 Rates of conception and live birth are not likely influenced by minor thyroid dysfunction. 4. Women with active Graves disease or toxic adenoma should delay pregnancy until normal thyroid function is established. 5. Propylthiouracil is preferred for antithyroid drug treatment before conception.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:0820-3946
1488-2329
DOI:10.1503/cmaj.170021