Can you get pregnant with thyroiditis?

Written by Chen Xie
Endocrinology
Updated on September 29, 2024
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Patients with thyroiditis can become pregnant, but they must keep their thyroid function within the normal range. During the course of thyroiditis, it can manifest in three phases: hyperthyroidism, euthyroidism, and hypothyroidism. When thyroid function is overactive, it is necessary to maintain thyroid function at a basically normal level, and then plan for pregnancy under the guidance of a doctor. For patients with reduced thyroid function, it is even more necessary to maintain thyroid function within the normal range. It is advisable to consult a doctor and plan for pregnancy only after ensuring thyroid function is normal, as reduced thyroid function can impair fetal intellectual development.

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Written by Chen Xie
Endocrinology
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Is thyroiditis contagious?

Thyroiditis, based on its cause, can be classified into subtypes such as subacute thyroiditis and autoimmune thyroiditis. Subacute thyroiditis is primarily caused by viral infections leading to the destruction of the thyroid follicular structure, and it is not contagious. Autoimmune thyroiditis primarily involves the presence of autoantibodies within the body, which lead to the destruction of thyroid follicles and consequently to the apoptosis of thyroid cells. This cause is also non-contagious. Therefore, thyroiditis cannot be transmitted, but it does have genetic susceptibility. For patients whose parents have thyroiditis, their children may also have thyroiditis.

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Written by Chen Xie
Endocrinology
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Can you get pregnant with thyroiditis?

Patients with thyroiditis can become pregnant, but they must keep their thyroid function within the normal range. During the course of thyroiditis, it can manifest in three phases: hyperthyroidism, euthyroidism, and hypothyroidism. When thyroid function is overactive, it is necessary to maintain thyroid function at a basically normal level, and then plan for pregnancy under the guidance of a doctor. For patients with reduced thyroid function, it is even more necessary to maintain thyroid function within the normal range. It is advisable to consult a doctor and plan for pregnancy only after ensuring thyroid function is normal, as reduced thyroid function can impair fetal intellectual development.

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Written by Liang Yin
Endocrinology
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Symptoms of hypothyroidism in thyroiditis

There are many types of thyroiditis, and the most common one associated with hypothyroidism is Hashimoto's thyroiditis. Symptoms of hypothyroidism include multi-system involvement. In the nervous system, it manifests as reduced memory and attention, and drowsiness; in the cardiovascular system, it presents as bradycardia, faint heart sounds, and cardiac enlargement; in the musculoskeletal system, it manifests as slowed movement and joint disorders; in the digestive system, it presents as loss of appetite, bloating, and constipation; in the respiratory system, it manifests as weak and shallow breathing; in the hematologic system, it can manifest as anemia; in the endocrine system, it can present as reduced gonadal function accompanied by hyperprolactinemia, menorrhagia, amenorrhea or infertility, hair loss, and the skin and mucous membranes appear pale with myxedema.

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Written by Li Hui Zhi
Endocrinology
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Initial symptoms of thyroiditis

If it is the early stage of subacute thyroiditis, the patient will experience a fever, mainly in the afternoon or at night. Secondly, there is pain when bending the neck forward, and many patients feel as if they have a sore throat and thus visit the otolaryngology department. Thirdly, in the early stages, the patient experiences transient hyperthyroidism, with symptoms such as palpitations, excessive sweating, weight loss, and insomnia. Therefore, with these symptoms, it is advisable to promptly visit an endocrinology specialist for further thyroid function tests and thyroid ultrasound, followed by a definitive diagnosis and comprehensive treatment.

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Written by Chen Xie
Endocrinology
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Does thyroiditis hurt?

The most common causes of thyroiditis refer to subacute thyroiditis and autoimmune thyroiditis. Subacute thyroiditis is mainly caused by viral infection, leading to the destruction of thyroid follicular cells. This generally results in pain in the thyroid region, which can even radiate to areas like the back of the neck and ears, with the pain symptoms being relatively significant. Meanwhile, Hashimoto's thyroiditis typically does not present with pain, although a small number of patients may experience localized pain during the onset of the disease, but the symptoms are usually mild. Additionally, the pain in the neck thyroid region associated with subacute thyroiditis varies from person to person, with varying degrees of pain intensity. It is primarily treatable with steroids or non-steroidal anti-inflammatory drugs, and generally, the symptoms can be relieved after treatment.