The guidelines recommend that thyroid function be evaluated in women who are having an infertility work-up/evaluation.
The guidelines also recommend thyroid evaluation in the following at-risk groups:
- Those women with a history of hyperthyroid or hypothyroid disease, post-partum thyroiditis, or thyroid lobectomy.
- Women who have a family history of thyroid disease.
- Women with a goiter.
- Women who have tested positive for thyroid antibodies
- Women who have symptoms or clinical signs -- including anemia or elevated cholesterol -- that suggest possible hypothyroidism or hyperthyroidism
- Women with type I (autoimmune) diabetes and other autoimmune disorders.
- Women who have had radiation to the head or neck as part of other medical treatments
- Women with a history of miscarriage or preterm delivery
Mary Shomon, About.com's Thyroid Guide since 1997, is a nationally-known patient advocate and best-selling author of 10 books on health, including "The Thyroid Hormone Breakthrough: Overcoming Sexual and Hormonal Problems at Every Age," "The Thyroid Diet: Manage Your Metabolism for Lasting Weight Loss," "Living Well With Hypothyroidism: What Your Doctor Doesn't Tell You...That You Need to Know," "Living Well With Graves' Disease and Hyperthyroidism," "Living Well With Autoimmune Disease," and "Living Well With Chronic Fatigue Syndrome and Fibromyalgia." Click here for more information on Mary Shomon.
Source:
Abalovich, Marcos, et. al. “Management of Thyroid Dysfunction during Pregnancy and Postpartum: An Endocrine Society Clinical Practice Guideline,” The Journal of Clinical Endocrinology & Metabolism Vol. 92, No. 8 s1-s7
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