Can you get pregnant with Hashimoto's thyroiditis?

Written by Li Hui Zhi

Endocrinology

Updated on September 12, 2024

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Hashimoto's thyroiditis can lead to pregnancy, but the prerequisite is that you must visit an endocrinology specialist before pregnancy to check your thyroid function, ensuring that the TSH (thyroid-stimulating hormone) is controlled below 2.5. This situation is suitable for pregnancy because if TSH is greater than 2.5, it is likely to have a certain impact on the fetus's intelligence. Therefore, if you have Hashimoto's thyroiditis and are planning to conceive, you first need to check the thyroid function. If this indicator is normal, then you can consider pregnancy.

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Written by Chen Xie

Endocrinology

1min 2sec

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What is the heart rate for Hashimoto's thyroiditis?

Hashimoto's thyroiditis is an autoimmune thyroid disease. The course of the disease can include hyperthyroidism, euthyroidism, and hypothyroidism. When Hashimoto's thyroiditis is at different stages of thyroid function, the changes in heart rate are also inconsistent. When Hashimoto's thyroiditis coincides with hyperthyroidism, the heart rate may be fast, even exceeding 100bpm. When Hashimoto's thyroiditis coincides with normal thyroid function, the heart rate may be within the normal range, around 60bpm to 100bpm. When Hashimoto's thyroiditis coincides with hypothyroidism, the heart rate may slow down, possibly dropping below 60bpm. Therefore, in Hashimoto's thyroiditis, as the thyroid function varies, so does the heart rate.

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Written by Chen Li Ping

Endocrinology

45sec

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Does Hashimoto's thyroiditis hurt?

Hashimoto's thyroiditis is a chronic lymphocytic thyroiditis. The typical manifestation of Hashimoto's thyroiditis is chronic diffuse goiter, but the patient is asymptomatic. The patient's thyroid will show diffuse, painless mild to moderate enlargement, firm texture, slight tenderness upon pressure, local compression in the neck, and generally not very pronounced systemic symptoms, often with discomfort in the throat. Thyroid pain or tenderness in Hashimoto's thyroiditis is still quite rare; if pain is present, differentiation from subacute thyroiditis is necessary.

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Written by Chen Xie

Endocrinology

52sec

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Is the ESR high in Hashimoto's thyroiditis?

Hashimoto's thyroiditis belongs to autoimmune thyroiditis, which is caused by the presence of autoantibodies that destroy the thyroid follicular cells, leading to the failure of thyroid cells. For patients with Hashimoto's thyroiditis, the erythrocyte sedimentation rate (ESR) generally does not increase. However, if a patient experiences neck discomfort or sore throat, and the ESR increases, even accompanied by fever, it is necessary to rule out whether subacute thyroiditis is present. If the patient has subacute thyroiditis, it indicates that a viral infection has caused the destruction of the thyroid cells, which might increase the ESR.

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Written by Chen Xie

Endocrinology

51sec

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Is Hashimoto's thyroiditis hereditary?

Hashimoto's thyroiditis is an autoimmune thyroid disease and is not hereditary. However, it tends to cluster in families, meaning if one's parents have a history of Hashimoto's thyroiditis, their offspring have a relatively higher risk of developing the disease. However, this is not absolute heredity; it simply indicates a familial clustering tendency. Treatment for Hashimoto's thyroiditis is relatively effective. If hypothyroidism occurs, one only needs to take lifelong replacement therapy with levothyroxine to maintain thyroid function within the normal range, which has minimal impact on the body. Therefore, there is no need for excessive worry.

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Written by Chen Xie

Endocrinology

1min 19sec

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Can Hashimoto's thyroiditis patients eat iodized salt?

Hashimoto's thyroiditis is an autoimmune thyroid disease, which can manifest in three thyroid function states: hyperthyroidism, euthyroidism, and hypothyroidism. The dietary requirements for iodized salt vary depending on the thyroid state. When Hashimoto's thyroiditis coexists with hyperthyroidism, an iodine-restricted diet is necessary. When thyroid function is normal in Hashimoto's thyroiditis, iodine intake should still be limited, as excessive iodine can cause a thyroiditis that changes from euthyroid to dysfunctional. Therefore, iodized salt can be consumed, but the intake of iodine-rich foods such as kelp, seaweed, and seafood should be restricted. When Hashimoto's thyroiditis coincides with hypothyroidism, iodized salt can be consumed without specific restrictions; both iodized and non-iodized salt are acceptable. This is because, at this stage, thyroid function primarily requires hormone replacement therapy, so the consumption of iodized salt has no effect.