Underactive thyroid
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Pregnancy and an underactive thyroid gland

If you're pregnant and have an underactive thyroid gland, it's important to keep taking your treatment.

If you think you might have an underactive thyroid and are pregnant or thinking about getting pregnant, see your doctor. Not treating your underactive thyroid may harm your health or your baby's health.1

For example, you are at a higher risk of getting high blood pressure, bleeding or having a stillborn baby if you don't get the right amount of thyroid hormones when you're pregnant. There's also a chance that your baby will be born with a low birth weight.

You'll have treatment with levothyroxine. This is a man-made version of the natural hormone thyroxine, the main hormone your body stops making when you have an underactive thyroid. It's safe to take levothyroxine during pregnancy. It won't harm your baby.

Even if you have a mildly underactive thyroid with no symptoms, it's still important to get treatment.

You'll need to have your levels of thyroid hormones checked at least every six weeks during your pregnancy. This is because your dose of levothyroxine may need to change.2

About 5 in 100 women get a mild form of hypothyroidism after they have their baby.3 Most women get better on their own after a few months.



Sources for the information on this page:
  1. AACE Thyroid Task Force. American Association of Clinical Endocrinologists medical guidelines for clinical practice for the evaluation and treatment of hyperthyroidism and hypothyroidism. Endocrine Practice. 2002;8:457-469.
  2. Alexander EK, Marqusee E, Lawrence J et al. Timing and magnitude of increases in levothyroxine requirements during pregnancy in women with hypothyroidism. New England Journal of Medicine. 2004;35: 241-249.
  3. Braunwald E, Fauci AS, Kasper DL (editors). Harrison's principles of internal medicine. 15th edition. McGraw-Hill, New York, U.S.A.; 2001.
This information was last updated in May 01, 2008