Thyroid disease is a common problem found in women of reproductive age. Thyroid Stimulating Hormone (TSH) controls the thyroid gland and hence the secretions of Thyroxine (T4) and Triiodothyronine (T3). The thyroid affects all the organs in our body.
Thyroid disease can be diagnosed using Thyroid Screening test. High TSH and low free T4 levels indicate hypothyroidism whereas low TSH and high free T4 levels indicate hyperthyroidism. Elevated TSH levels but normal free T4 levels indicate Subclinical hypothyroidism.
Common symptoms of hypothyroidism include fatigue, constipation etc. It may cause hypertension, cardiac abnormalities among many others. It may also cause infertility due to anovulation. Hence women with irregular periods need to undergo screening for thyroid disease and appropriate thyroid hormone supplements are provided. Additionally hypothyroid women who become pregnant need to increase their intake of thyroid medication.
Anxiety, weight loss, palpitations are some of the symptoms associated with hyperthyroidism. It may cause cardiac failure, hypertension among many others. It may also cause fertility problems because of anovulation. Consult your doctor for the right treatment available to treat hyperthyroidism before trying to conceive.
Sub-clinical hypothyroidism may cause infertility and miscarriages and is needs to be treated in women trying to conceive.
Men and women with untreated thyroid disease may experience decreased sexual desire (libido). Hyper- or hypothyroidism may also affect male fertility since normal thyroid levels are required for sperm development.