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Hypothyroidism is common in pregnancy with an estimated prevalence of 2-3% and 0.3-0.5% for subclinical and overt hypothyroidism respectively. [8] Endemic iodine deficiency accounts for most hypothyroidism in pregnant women worldwide while chronic autoimmune thyroiditis is the most common cause of hypothyroidism in iodine sufficient parts of the world.
Numerous symptoms and signs are associated with hypothyroidism and can be related to the underlying cause, or a direct effect of not having enough thyroid hormones. [ 15 ] [ 16 ] Hashimoto's thyroiditis may present with the mass effect of a goiter (enlarged thyroid gland). [ 15 ]
Congenital iodine deficiency syndrome (CIDS), also called cretinism, [2] is a medical condition present at birth marked by impaired physical and mental development, due to insufficient thyroid hormone production (hypothyroidism) often caused by insufficient dietary iodine during pregnancy. It is one cause of underactive thyroid function at ...
Around the world, the most common cause of congenital hypothyroidism is iodine deficiency, but in most of the developed world and areas of adequate environmental iodine, cases are due to a combination of known and unknown causes. Most commonly there is a defect of development of the thyroid gland itself, resulting in an absent (athyreosis) or ...
The thyroid may enlarge slightly in healthy women during pregnancy, but not enough to be felt. These changes do not affect the pregnancy or unborn baby. Yet, untreated thyroid problems can threaten pregnancy and the growing baby. Symptoms of normal pregnancy, like fatigue, can make it easy to overlook thyroid problems in pregnancy. [1]
A woman's health may not be in immediate danger, but in some cases continuing a pregnancy can progress to a life-threatening situation. "There is no exact red line for most people for where a ...
Rankins says cerclages have about a 70 to 80 percent success rate when placed early enough in pregnancy. Once a patient has been diagnosed with the condition, progesterone supplementation is also ...
Hashimoto's is typically not treated unless there is hypothyroidism, or the presence of a goiter, when it may be treated with levothyroxine. [6] [3] Those affected should avoid eating large amounts of iodine; however, sufficient iodine is required especially during pregnancy. [3] Surgery is rarely required to treat the goiter. [6]
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