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Thyroid disorders in subfertility and early pregnancy
Disorders of thyroid function are common in pregnancy and have implications for foetal and maternal health. Thyroid autoimmunity, as evidenced by the presence of elevated levels of anti-thyroid antibodies (anti-TPO and anti-Tg antibodies) is associated with an increased risk of miscarriage, though t...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7576916/ https://www.ncbi.nlm.nih.gov/pubmed/33133491 http://dx.doi.org/10.1177/2042018820945855 |
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author | Anandappa, Samantha Joshi, Mamta Polanski, Lukasz Carroll, Paul V. |
author_facet | Anandappa, Samantha Joshi, Mamta Polanski, Lukasz Carroll, Paul V. |
author_sort | Anandappa, Samantha |
collection | PubMed |
description | Disorders of thyroid function are common in pregnancy and have implications for foetal and maternal health. Thyroid autoimmunity, as evidenced by the presence of elevated levels of anti-thyroid antibodies (anti-TPO and anti-Tg antibodies) is associated with an increased risk of miscarriage, though the mechanism remains poorly understood. There has been considerable focus on the implications and optimal management of pregnant women with thyroid disease, especially those undergoing assisted reproduction. Pregnancy results in significant changes in thyroid physiology and these need to be understood by clinicians involved in the care of pregnant women. Guidelines for the use of thyroxine and target thyroid function tests have been produced by international bodies but it is recognised that these predominantly reflect expert opinion rather than established evidence-based practice. Importantly a number of key clinical trials have been performed to aid understanding, particularly of the consequences of hypothyroidism for mother and baby, and the effectiveness of thyroid hormone use in autoimmune and subclinical hypothyroidism. This review summarises the current knowledge base and guidance for practice relating to thyroid disorders in pregnancy and subfertility. |
format | Online Article Text |
id | pubmed-7576916 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-75769162020-10-29 Thyroid disorders in subfertility and early pregnancy Anandappa, Samantha Joshi, Mamta Polanski, Lukasz Carroll, Paul V. Ther Adv Endocrinol Metab Review Disorders of thyroid function are common in pregnancy and have implications for foetal and maternal health. Thyroid autoimmunity, as evidenced by the presence of elevated levels of anti-thyroid antibodies (anti-TPO and anti-Tg antibodies) is associated with an increased risk of miscarriage, though the mechanism remains poorly understood. There has been considerable focus on the implications and optimal management of pregnant women with thyroid disease, especially those undergoing assisted reproduction. Pregnancy results in significant changes in thyroid physiology and these need to be understood by clinicians involved in the care of pregnant women. Guidelines for the use of thyroxine and target thyroid function tests have been produced by international bodies but it is recognised that these predominantly reflect expert opinion rather than established evidence-based practice. Importantly a number of key clinical trials have been performed to aid understanding, particularly of the consequences of hypothyroidism for mother and baby, and the effectiveness of thyroid hormone use in autoimmune and subclinical hypothyroidism. This review summarises the current knowledge base and guidance for practice relating to thyroid disorders in pregnancy and subfertility. SAGE Publications 2020-10-13 /pmc/articles/PMC7576916/ /pubmed/33133491 http://dx.doi.org/10.1177/2042018820945855 Text en © The Author(s), 2020 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Review Anandappa, Samantha Joshi, Mamta Polanski, Lukasz Carroll, Paul V. Thyroid disorders in subfertility and early pregnancy |
title | Thyroid disorders in subfertility and early pregnancy |
title_full | Thyroid disorders in subfertility and early pregnancy |
title_fullStr | Thyroid disorders in subfertility and early pregnancy |
title_full_unstemmed | Thyroid disorders in subfertility and early pregnancy |
title_short | Thyroid disorders in subfertility and early pregnancy |
title_sort | thyroid disorders in subfertility and early pregnancy |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7576916/ https://www.ncbi.nlm.nih.gov/pubmed/33133491 http://dx.doi.org/10.1177/2042018820945855 |
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