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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Does Hyperthyrodism Effects Pregnancy ?

My wife is tested positive for HyperThyrodism (T2- 7.9, T4 - 320, TSH 0.015) and in sonography of her neck, nodules of size 5.9 * 8.4 mm is found. 1. How she will be treated ? 2. How much Time She will take to recover, and 3. Does Hyperthyrodism effects pregnancy ?
Sat, 29 Oct 2011
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  User's Response
's  Response
1. She will require further investigations. If she is not pregnant at present, a Thyroid Scan and USG guided FNAC of the thyroid nodule/s will be required.
Does she have any signs and symptoms? Does she have a positive family history? Other tests commonly used are free T3 & T4, Ultra TSH, Thyroid Antibody level estimations.
2. It may turn out to be Grave's Disease (the common auto immune form of hyperthyrodism), an adenoma or a multinodular goitre. Treatment options are anti-thyroid drugs (1-2years), Radioactive Iodine ablation and Surgery (in this order).
3. Hyperthyroidism decreases fertility and affects the mother and child adversely. It can cause cardiac failure, hypertension, eclampsia, pre-term delivery, low birth weight and many complications. Hypothyroidism also affects the child adversely. Pregnancy can continue under the cover of anti-thyroid drugs. If radio-iodine ablation has been done, it is advisable to wait for a year.
General & Family Physician,  Dr. Pavan Kumar Gupta's  Response
Hello.Welcome to HCM forum.your problem looks to be multi nodular toxic goitre.treatment consists of controlling the thyrotoxicosis first with medication ,then follow with radio iodine.Surgery is indicated if there are compressive symptoms from enlarged thyroid(dysphagia or dyspnoea).Several months are required to restore the euthyroid state.RAI( radio active iodine) is contraindicated in pregnancy and therefore patient is treated with medicines.Fetus and neonate should be monitored carefully for hyperthyroidism.Thanks and good luck.
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General & Family Physician,  Dr. Pavan Kumar Gupta's  Response
Hello.Welcome to HCM forum.your problem looks to be multi nodular toxic goitre.treatment consists of controlling the thyrotoxicosis first with medication ,then follow with radio iodine.Surgery is indicated if there are compressive symptoms from enlarged thyroid(dysphagia or dyspnoea).Several months are required to restore the euthyroid state.RAI( radio active iodine) is contraindicated in pregnancy and therefore patient is treated with medicines.Fetus and neonate should be monitored carefully for hyperthyroidism.Thanks and good luck.
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Does Hyperthyrodism Effects Pregnancy ?

1. She will require further investigations. If she is not pregnant at present, a Thyroid Scan and USG guided FNAC of the thyroid nodule/s will be required. Does she have any signs and symptoms? Does she have a positive family history? Other tests commonly used are free T3 & T4, Ultra TSH, Thyroid Antibody level estimations. 2. It may turn out to be Grave's Disease (the common auto immune form of hyperthyrodism), an adenoma or a multinodular goitre. Treatment options are anti-thyroid drugs (1-2years), Radioactive Iodine ablation and Surgery (in this order). 3. Hyperthyroidism decreases fertility and affects the mother and child adversely. It can cause cardiac failure, hypertension, eclampsia, pre-term delivery, low birth weight and many complications. Hypothyroidism also affects the child adversely. Pregnancy can continue under the cover of anti-thyroid drugs. If radio-iodine ablation has been done, it is advisable to wait for a year.