{"id":15521,"date":"2025-04-06T14:41:47","date_gmt":"2025-04-06T13:41:47","guid":{"rendered":"https:\/\/kinderwunschaerztin.de\/tsh-and-the-thyroid-when-trying-to-conceive-which-values-matter\/"},"modified":"2026-10-06T15:17:29","modified_gmt":"2026-10-06T14:17:29","slug":"tsh-and-the-thyroid-when-trying-to-conceive-which-values-matter","status":"publish","type":"post","link":"https:\/\/kinderwunschaerztin.de\/en\/tsh-and-the-thyroid-when-trying-to-conceive-which-values-matter\/","title":{"rendered":"TSH and the thy\u00adroid when try\u00ading to con\u00adceive: Which val\u00adues mat\u00adter?"},"content":{"rendered":"\n<h3 class=\"gb-text\">How does the TSH lev\u00adel affect fer\u00adtil\u00adi\u00adty?<\/h3>\n\n<p class=\"wp-block-paragraph\">The thy\u00adroid pro\u00adduces hor\u00admones that influ\u00adence numer\u00adous meta\u00adbol\u00adic process\u00ades in the body and also play a role in the female cycle and repro\u00adduc\u00adtion. Pro\u00adnounced thy\u00adroid dys\u00adfunc\u00adtion can there\u00adfore also be rel\u00ade\u00advant when try\u00ading to con\u00adceive. <\/p>\n\n<p class=\"wp-block-paragraph\">The most impor\u00adtant lab\u00ado\u00adra\u00adto\u00adry val\u00adue for an ini\u00adtial assess\u00adment of thy\u00adroid func\u00adtion is TSH (thy\u00adroid-stim\u00adu\u00adlat\u00ading hor\u00admone). If the val\u00adue is abnor\u00admal, fur\u00adther tests such as mea\u00adsur\u00ading the free thy\u00adroid hor\u00admone fT4 and\u2014depending on the clin\u00adi\u00adcal question\u2014thyroid anti\u00adbod\u00adies may be use\u00adful. <\/p>\n\n<p class=\"wp-block-paragraph\">Whether a thy\u00adroid eval\u00adu\u00ada\u00adtion is nec\u00ades\u00adsary when try\u00ading to con\u00adceive depends on the indi\u00advid\u00adual sit\u00adu\u00ada\u00adtion. It is par\u00adtic\u00adu\u00adlar\u00adly rel\u00ade\u00advant, for exam\u00adple, in the case of a known thy\u00adroid con\u00addi\u00adtion, cor\u00adre\u00adspond\u00ading symp\u00adtoms, or abnor\u00admal pre\u00advi\u00adous find\u00adings. <\/p>\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n<ul class=\"wp-block-list is-style-toc\">\n<li id=\"schilddr\u00fcse_fruchtbarkeit\"><a href=\"#schilddr\u00fcse_fruchtbarkeit\">Thy\u00adroid, TSH, and fer\u00adtil\u00adi\u00adty when try\u00ading to con\u00adceive<\/a><\/li>\n\n\n\n<li><a href=\"#therapiem\u00f6glichkeiten\">Ther\u00ada\u00adpies &amp; treat\u00adment options<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/kinderwunschaerztin.de\/en\/signs-of-an-ectopic-pregnancy-in-the-5th-week-of-pregnancy\/#blutung_schwanger\"><\/a><a href=\"#ursachen\">Caus\u00ades of a low or high TSH lev\u00adel<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/kinderwunschaerztin.de\/en\/signs-of-an-ectopic-pregnancy-in-the-5th-week-of-pregnancy\/#diagnostik\"><\/a><a href=\"#symptome\">Symp\u00adtoms of hypothy\u00adroidism<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/kinderwunschaerztin.de\/en\/signs-of-an-ectopic-pregnancy-in-the-5th-week-of-pregnancy\/#behandlung\"><\/a><a href=\"#hashimoto\" id=\"#hashimoto\">Hashimoto\u2019s thy\u00adroidi\u00adtis and try\u00ading to con\u00adceive<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/kinderwunschaerztin.de\/en\/signs-of-an-ectopic-pregnancy-in-the-5th-week-of-pregnancy\/#wann_schwangerschaft_nach_eileiterschwangerschaft\"><\/a><a href=\"#schilddr\u00fcsenfehlfunktion\">Thy\u00adroid dys\u00adfunc\u00adtion after preg\u00adnan\u00adcy<\/a><\/li>\n<\/ul>\n\n<h2 class=\"gb-text\" id=\"whatis\">Thy\u00adroid, TSH, and fer\u00adtil\u00adi\u00adty when try\u00ading to con\u00adceive<\/h2>\n\n<h3 class=\"gb-text\" id=\"whatis\">TSH, T3, and T4: How thy\u00adroid func\u00adtion is reg\u00adu\u00adlat\u00aded<\/h3>\n\n<p class=\"wp-block-paragraph\">TSH (thy\u00adroid-stim\u00adu\u00adlat\u00ading hor\u00admone) is pro\u00adduced in the pitu\u00aditary gland and reg\u00adu\u00adlates the pro\u00adduc\u00adtion of thy\u00adroid hor\u00admones. If their con\u00adcen\u00adtra\u00adtion in the blood decreas\u00ades, more TSH is usu\u00adal\u00adly released, stim\u00adu\u00adlat\u00ading the thy\u00adroid to pro\u00adduce the hor\u00admones T4 (thy\u00adrox\u00adine) and T3 (tri\u00adiodothy\u00adro\u00adnine). If the con\u00adcen\u00adtra\u00adtion of thy\u00adroid hor\u00admones increas\u00ades, TSH secre\u00adtion decreas\u00ades again.  <\/p>\n\n<p class=\"wp-block-paragraph\">This reg\u00adu\u00adla\u00adto\u00adry loop is addi\u00adtion\u00adal\u00adly con\u00adtrolled by TRH (thy\u00adrotropin-releas\u00ading hor\u00admone), which is pro\u00adduced in the hypo\u00adthal\u00ada\u00admus. Because TSH responds sen\u00adsi\u00adtive\u00adly to changes in thy\u00adroid func\u00adtion, it is the most impor\u00adtant lab\u00ado\u00adra\u00adto\u00adry val\u00adue for an ini\u00adtial assess\u00adment. If TSH is abnor\u00admal, addi\u00adtion\u00adal values\u2014especially fT4\u2014can be used for fur\u00adther clas\u00adsi\u00adfi\u00adca\u00adtion.  <\/p>\n\n<h3 class=\"gb-text\" id=\"whatis\">Rec\u00adom\u00admend\u00aded TSH lev\u00adels when try\u00ading to con\u00adceive and dur\u00ading preg\u00adnan\u00adcy<\/h3>\n\n<p class=\"wp-block-paragraph\"><strong>The TSH lev\u00adel is mea\u00adsured in the blood and assessed based on the ref\u00ader\u00adence range of the respec\u00adtive lab\u00ado\u00adra\u00adto\u00adry. A sin\u00adgle cut-off val\u00adue does not apply equal\u00adly to every life sit\u00adu\u00ada\u00adtion. Age, preg\u00adnan\u00adcy, and an exist\u00ading thy\u00adroid con\u00addi\u00adtion can also play a role in the assess\u00adment.  <\/strong><\/p>\n\n<p class=\"wp-block-paragraph\">Dur\u00ading preg\u00adnan\u00adcy, thy\u00adroid func\u00adtion changes, among oth\u00ader fac\u00adtors, due to the influ\u00adence of the preg\u00adnan\u00adcy hor\u00admone hCG. Accord\u00ading to the <a href=\"https:\/\/register.awmf.org\/de\/leitlinien\/detail\/053-046?\">cur\u00adrent Ger\u00adman guide\u00adline<\/a>, a TSH lev\u00adel of 4.0 mU\/L is con\u00adsid\u00adered the upper ref\u00ader\u00adence lim\u00adit if no suit\u00adable region\u00adal or lab\u00ado\u00adra\u00adto\u00adry-spe\u00adcif\u00adic ref\u00ader\u00adence val\u00adues for preg\u00adnant women are avail\u00adable. A TSH lev\u00adel above 2.5 mU\/L there\u00adfore does not auto\u00admat\u00adi\u00adcal\u00adly mean that hypothy\u00adroidism is present or that treat\u00adment is required.   <\/p>\n\n<p class=\"wp-block-paragraph\">When try\u00ading to con\u00adceive, too, a TSH tar\u00adget val\u00adue below 2.5 mU\/L does not apply across the board to every woman. The sit\u00adu\u00ada\u00adtion may be dif\u00adfer\u00adent, for exam\u00adple, in the case of already known and treat\u00aded hypothy\u00adroidism. In such cas\u00ades, low\u00ader ther\u00ada\u00adpeu\u00adtic tar\u00adget val\u00adues may be aimed for before and dur\u00ading preg\u00adnan\u00adcy. Clas\u00adsi\u00adfi\u00adca\u00adtion should there\u00adfore always be based on the indi\u00advid\u00adual base\u00adline sit\u00adu\u00ada\u00adtion.   <\/p>\n\n<h3 class=\"gb-text\" id=\"whatis\">Thy\u00adroid anti\u00adbod\u00adies and Hashimoto\u2019s: What mat\u00adters when try\u00ading to con\u00adceive<\/h3>\n\n<p class=\"wp-block-paragraph\">In Hashimoto\u2019s thy\u00adroidi\u00adtis, the immune sys\u00adtem tar\u00adgets com\u00adpo\u00adnents of the thy\u00adroid. Typ\u00adi\u00adcal find\u00adings include anti\u00adbod\u00adies against thy\u00adroid per\u00adox\u00adi\u00addase (TPO anti\u00adbod\u00adies). Thy\u00adroglob\u00adu\u00adlin anti\u00adbod\u00adies (Tg anti\u00adbod\u00adies) may also occur. TRAb (TSH recep\u00adtor anti\u00adbod\u00adies), by con\u00adtrast, main\u00adly play a role in Graves\u2019 dis\u00adease.   <\/p>\n\n<p class=\"wp-block-paragraph\">How\u00adev\u00ader, mea\u00adsur\u00ading thy\u00adroid anti\u00adbod\u00adies is not gen\u00ader\u00adal\u00adly nec\u00ades\u00adsary for every woman when try\u00ading to con\u00adceive. What mat\u00adters are the indi\u00advid\u00adual med\u00adical his\u00adto\u00adry, thy\u00adroid func\u00adtion, and exist\u00ading find\u00adings. A pos\u00adi\u00adtive TPO anti\u00adbody result also does not auto\u00admat\u00adi\u00adcal\u00adly mean that treat\u00adment with thy\u00adroid hor\u00admones is nec\u00ades\u00adsary.  <\/p>\n\n<p class=\"wp-block-paragraph\">If TSH is ele\u00advat\u00aded, free T4 (fT4) and\u2014depending on the findings\u2014TPO anti\u00adbod\u00adies are mea\u00adsured in par\u00adtic\u00adu\u00adlar for fur\u00adther clas\u00adsi\u00adfi\u00adca\u00adtion. Whether treat\u00adment with levothy\u00adrox\u00adine is appro\u00adpri\u00adate depends, among oth\u00ader fac\u00adtors, on whether overt or sub\u00adclin\u00adi\u00adcal hypothy\u00adroidism is present, how high the TSH lev\u00adel is, and whether preg\u00adnan\u00adcy already exists or a thy\u00adroid con\u00addi\u00adtion is being treat\u00aded. <\/p>\n\n<p class=\"wp-block-paragraph\">For women with nor\u00admal thy\u00adroid func\u00adtion and pos\u00adi\u00adtive TPO anti\u00adbod\u00adies, it can\u00adnot be gen\u00ader\u00adal\u00adly con\u00adclud\u00aded that pre\u00adven\u00adtive treat\u00adment with levothy\u00adrox\u00adine improves fer\u00adtil\u00adi\u00adty or preg\u00adnan\u00adcy out\u00adcomes. The deci\u00adsion should there\u00adfore be made on an indi\u00advid\u00adual basis. <\/p>\n\n<p class=\"wp-block-paragraph\"><strong>Good to know:<\/strong> In Ger\u00admany, test\u00ading for con\u00adgen\u00adi\u00adtal hypothy\u00adroidism is part of new\u00adborn screen\u00ading. For this pur\u00adpose, among oth\u00ader things, TSH is mea\u00adsured from a dried blood spot in the first days of life. <\/p>\n\n<div class=\"single-post__hintergrund\">\n<h3 class=\"gb-text\">At-home fer\u00adtil\u00adi\u00adty test for women<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Thy\u00adroid func\u00adtion can play a role when try\u00ading to con\u00adceive. TSH is there\u00adfore one of the sev\u00aden <a href=\"https:\/\/kinderwunschaerztin.de\/en\/services\/diagnostics\/hormone-analysis\/\">hor\u00admone val\u00adues<\/a> mea\u00adsured by our at-home fer\u00adtil\u00adi\u00adty test for women. In addi\u00adtion to TSH, AMH, FSH, LH, estra\u00addi\u00adol, pro\u00adlactin, and testos\u00adterone are mea\u00adsured. The results are eval\u00adu\u00adat\u00aded by spe\u00adcial\u00adist physi\u00adcians and explained clear\u00adly for you\u2014conveniently from home.   <\/p>\n\n\n\n<a class=\"dl-button--primary\" href=\"https:\/\/kinderwunschaerztin.de\/en\/services\/diagnostics\/at-home-fertility-test\/\"><span class=\"gb-text\">Go to the fer\u00adtil\u00adi\u00adty test<\/span><span class=\"gb-shape\"><\/span><\/a>\n<\/div>\n\n<img loading=\"lazy\" decoding=\"async\" width=\"1800\" height=\"1020\" class=\"dl-img-left gb-media-3554a67f\" alt title=\"Hormonal stimulation (1)\" src=\"https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/Hormonelle-Stimulation-1.png\" srcset=\"https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/Hormonelle-Stimulation-1.png 1800w, https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/Hormonelle-Stimulation-1-300x170.png 300w, https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/Hormonelle-Stimulation-1-1024x580.png 1024w, https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/Hormonelle-Stimulation-1-768x435.png 768w, https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/Hormonelle-Stimulation-1-1536x870.png 1536w\" sizes=\"auto, (max-width: 1800px) 100vw, 1800px\">\n\n<h2 class=\"gb-text\" id=\"therapiem-glichkeiten\">Hypothy\u00adroidism and sub\u00adclin\u00adi\u00adcal hypothy\u00adroidism: Ther\u00ada\u00adpies &amp; treat\u00adment options<\/h2>\n\n<p class=\"wp-block-paragraph\">Hypothy\u00adroidism is usu\u00adal\u00adly treat\u00aded with levothy\u00adrox\u00adine (L\u2011thyroxine). The med\u00adica\u00adtion replaces the thy\u00adroid hor\u00admone T4, which the body does not pro\u00adduce in suf\u00adfi\u00adcient amounts in the case of under\u00adac\u00adtiv\u00adi\u00adty. The required dose is adjust\u00aded indi\u00advid\u00adu\u00adal\u00adly based on thy\u00adroid val\u00adues.  <\/p>\n\n<p class=\"wp-block-paragraph\">In sub\u00adclin\u00adi\u00adcal hypothyroidism\u2014i.e., an ele\u00advat\u00aded TSH lev\u00adel with nor\u00admal fT4\u2014treatment is not required in every case. Whether levothy\u00adrox\u00adine is appro\u00adpri\u00adate depends, among oth\u00ader fac\u00adtors, on the lev\u00adel of TSH, addi\u00adtion\u00adal thy\u00adroid find\u00adings, and whether preg\u00adnan\u00adcy exists or is planned.  <\/p>\n\n<p class=\"wp-block-paragraph\">Women with already known and treat\u00aded hypothy\u00adroidism should have their thy\u00adroid val\u00adues checked, if pos\u00adsi\u00adble, before a planned preg\u00adnan\u00adcy. If there is an indi\u00adca\u00adtion for treat\u00adment, levothy\u00adrox\u00adine can and should also be con\u00adtin\u00adued dur\u00ading preg\u00adnan\u00adcy. Because the need for thy\u00adroid hor\u00admones often increas\u00ades dur\u00ading preg\u00adnan\u00adcy, reg\u00adu\u00adlar mon\u00adi\u00adtor\u00ading is impor\u00adtant and the dose may need to be adjust\u00aded.  <br><\/p>\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n<h2 class=\"gb-text\">Caus\u00ades of a low or high TSH lev\u00adel<\/h2>\n\n<p class=\"wp-block-paragraph\">A TSH lev\u00adel out\u00adside the ref\u00ader\u00adence range may indi\u00adcate altered thy\u00adroid func\u00adtion. For fur\u00adther clas\u00adsi\u00adfi\u00adca\u00adtion, the free thy\u00adroid hormones\u2014especially fT4\u2014are tak\u00aden into account. <\/p>\n\n<p class=\"wp-block-paragraph\">A low TSH lev\u00adel may indi\u00adcate hyper\u00adthy\u00adroidism. Pos\u00adsi\u00adble caus\u00ades include, for exam\u00adple: <\/p>\n\n<ul class=\"wp-block-list\">\n<li><strong>Graves\u2019 dis\u00adease<\/strong><\/li>\n\n\n\n<li><strong>thy\u00adroid auton\u00ado\u00admy, for exam\u00adple due to autonomous nod\u00adules<\/strong><\/li>\n<\/ul>\n\n<p class=\"wp-block-paragraph\">Graves\u2019 dis\u00adease is an autoim\u00admune con\u00addi\u00adtion in which anti\u00adbod\u00adies against the TSH recep\u00adtor (TRAb) stim\u00adu\u00adlate the thy\u00adroid and can there\u00adby trig\u00adger increased pro\u00adduc\u00adtion of thy\u00adroid hor\u00admones. In addi\u00adtion to the thy\u00adroid, the con\u00addi\u00adtion can also affect oth\u00ader organs, espe\u00adcial\u00adly the eyes. <\/p>\n\n<p class=\"wp-block-paragraph\">An ele\u00advat\u00aded TSH lev\u00adel, by con\u00adtrast, may indi\u00adcate hypothy\u00adroidism. A com\u00admon cause is Hashimoto\u2019s thy\u00adroidi\u00adtis, an autoim\u00admune dis\u00adease of the thy\u00adroid. How\u00adev\u00ader, whether there is actu\u00adal\u00adly hypothy\u00adroidism requir\u00ading treat\u00adment does not depend on the TSH lev\u00adel alone.  <\/p>\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n<h2 class=\"gb-text\" id=\"symptome\">Symp\u00adtoms of hypothy\u00adroidism<\/h2>\n\n<p class=\"wp-block-paragraph\">Hypothy\u00adroidism can present with var\u00adi\u00adous, often non-spe\u00adcif\u00adic symp\u00adtoms. Espe\u00adcial\u00adly when try\u00ading to con\u00adceive or plan\u00adning a preg\u00adnan\u00adcy, it can be impor\u00adtant to detect an exist\u00ading thy\u00adroid con\u00addi\u00adtion ear\u00adly and treat it if nec\u00ades\u00adsary. <\/p>\n\n<p class=\"wp-block-paragraph\">Pos\u00adsi\u00adble symp\u00adtoms of hypothy\u00adroidism include:<\/p>\n\n<ul class=\"wp-block-list\">\n<li><strong>Fatigue<\/strong><\/li>\n\n\n\n<li><strong>dry skin<\/strong><\/li>\n\n\n\n<li><strong>con\u00adsti\u00adpa\u00adtion<\/strong><\/li>\n\n\n\n<li><strong>mus\u00adcle or joint pain<\/strong><\/li>\n\n\n\n<li><strong>increased sen\u00adsi\u00adtiv\u00adi\u00adty to cold and feel\u00ading cold more often<\/strong><\/li>\n\n\n\n<li><strong>con\u00adcen\u00adtra\u00adtion and mem\u00ado\u00adry prob\u00adlems<\/strong><\/li>\n\n\n\n<li><strong>changes in the men\u00adstru\u00adal cycle<\/strong><\/li>\n<\/ul>\n\n<p class=\"wp-block-paragraph\">Because these symp\u00adtoms can also have many oth\u00ader caus\u00ades, hypothy\u00adroidism can\u00adnot be diag\u00adnosed based on symp\u00adtoms alone. For clar\u00adi\u00adfi\u00adca\u00adtion, thy\u00adroid val\u00adues are mea\u00adsured in the blood. <\/p>\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n<img loading=\"lazy\" decoding=\"async\" width=\"1536\" height=\"1024\" class=\"dl-img-right gb-media-4fab2cfc\" alt title=\"Frutest_Woman_2\" src=\"https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/Frutest_Frau_2.jpg\" srcset=\"https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/Frutest_Frau_2.jpg 1536w, https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/Frutest_Frau_2-300x200.jpg 300w, https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/Frutest_Frau_2-1024x683.jpg 1024w, https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/Frutest_Frau_2-768x512.jpg 768w\" sizes=\"auto, (max-width: 1536px) 100vw, 1536px\">\n\n<h2 class=\"gb-text\" id=\"hashimoto\">Hashimoto\u2019s thy\u00adroidi\u00adtis and try\u00ading to con\u00adceive<\/h2>\n\n<p class=\"wp-block-paragraph\">Hashimoto\u2019s thy\u00adroidi\u00adtis is an autoim\u00admune dis\u00adease of the thy\u00adroid. The immune sys\u00adtem tar\u00adgets com\u00adpo\u00adnents of thy\u00adroid tis\u00adsue. Over time, thy\u00adroid func\u00adtion can decline and hypothy\u00adroidism may devel\u00adop. Typ\u00adi\u00adcal find\u00adings include ele\u00advat\u00aded TPO anti\u00adbod\u00adies; thy\u00adroglob\u00adu\u00adlin anti\u00adbod\u00adies (Tg anti\u00adbod\u00adies) may also be detectable.   <\/p>\n\n<p class=\"wp-block-paragraph\">Hashimoto\u2019s is rel\u00ada\u00adtive\u00adly com\u00admon in women of repro\u00adduc\u00adtive age and can there\u00adfore also play a role when try\u00ading to con\u00adceive. Thy\u00adroid dys\u00adfunc\u00adtion can affect the cycle and fer\u00adtil\u00adi\u00adty, among oth\u00ader things. Stud\u00adies also show asso\u00adci\u00ada\u00adtions between autoim\u00admune thy\u00adroid dis\u00adease and var\u00adi\u00adous repro\u00adduc\u00adtive fac\u00adtors. How\u00adev\u00ader, the extent to which thy\u00adroid autoimmunity\u2014independent of thy\u00adroid func\u00adtion itself\u2014affects fer\u00adtil\u00adi\u00adty has not yet been con\u00adclu\u00adsive\u00adly clar\u00adi\u00adfied.   <\/p>\n\n<p class=\"wp-block-paragraph\">When try\u00ading to con\u00adceive, the key fac\u00adtor is there\u00adfore pri\u00admar\u00adi\u00adly whether the thy\u00adroid pro\u00adduces suf\u00adfi\u00adcient hor\u00admones. If Hashimoto\u2019s is asso\u00adci\u00adat\u00aded with hypothy\u00adroidism requir\u00ading treat\u00adment, it is treat\u00aded with levothy\u00adrox\u00adine, and thy\u00adroid lev\u00adels should be checked already before preg\u00adnan\u00adcy. Pos\u00adi\u00adtive thy\u00adroid anti\u00adbod\u00adies alone, by con\u00adtrast, do not auto\u00admat\u00adi\u00adcal\u00adly mean that treat\u00adment with levothy\u00adrox\u00adine is nec\u00ades\u00adsary.  <\/p>\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n<h2 class=\"gb-text\" id=\"schilddr-senfehlfunktion\">Post\u00adpar\u00adtum thy\u00adroidi\u00adtis: Thy\u00adroid dys\u00adfunc\u00adtion after preg\u00adnan\u00adcy<\/h2>\n\n<p class=\"wp-block-paragraph\">Post\u00adpar\u00adtum thy\u00adroidi\u00adtis is an inflam\u00adma\u00adto\u00adry autoim\u00admune dis\u00adease of the thy\u00adroid that can occur with\u00adin the first year after child\u00adbirth. It affects about 5\u201310% of women after preg\u00adnan\u00adcy; it is more com\u00admon in cer\u00adtain risk groups.  <\/p>\n\n<p class=\"wp-block-paragraph\">Typ\u00adi\u00adcal\u00adly, an ini\u00adtial phase with ele\u00advat\u00aded thy\u00adroid hor\u00admone lev\u00adels may occur, fol\u00adlowed by a phase of hypothy\u00adroidism. How\u00adev\u00ader, not all women go through both phas\u00ades. Some expe\u00adri\u00adence only a hyper\u00adthy\u00adroid or only a hypothy\u00adroid phase.  <\/p>\n\n<p class=\"wp-block-paragraph\">In the ear\u00adly phase, symp\u00adtoms such as pal\u00adpi\u00adta\u00adtions, rest\u00adless\u00adness, sleep dis\u00adtur\u00adbances, or weight loss may occur. In the lat\u00ader hypothy\u00adroid phase, fatigue, weight gain, con\u00adsti\u00adpa\u00adtion, dry skin, or depres\u00adsive mood are pos\u00adsi\u00adble. Because some of these symp\u00adtoms are also com\u00admon in the post\u00adpar\u00adtum peri\u00adod, the con\u00addi\u00adtion is not always rec\u00adog\u00adnized imme\u00addi\u00adate\u00adly.   <\/p>\n\n<p class=\"wp-block-paragraph\">Immuno\u00adlog\u00adi\u00adcal\u00adly, post\u00adpar\u00adtum thy\u00adroidi\u00adtis resem\u00adbles Hashimoto\u2019s thy\u00adroidi\u00adtis and is often asso\u00adci\u00adat\u00aded with TPO anti\u00adbod\u00adies. Whether treat\u00adment is nec\u00ades\u00adsary depends on the phase and the sever\u00adi\u00adty of symp\u00adtoms. In many women, thy\u00adroid func\u00adtion nor\u00admal\u00adizes again with\u00adin 12 to 18 months; how\u00adev\u00ader, in some, per\u00adma\u00adnent hypothy\u00adroidism per\u00adsists.  <br><\/p>\n\n<div class=\"dl-grid--100 dl-blocks--notes\">\n<div>\n<div class=\"gb-accordion\">\n<div class=\"gb-accordion__item\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-toggle-418fd31e\">\n<span class=\"gb-text\">Sources and fur\u00adther read\u00ading:<\/span>\n\n\n\n<span class=\"gb-accordion__toggle-icon gb-accordion__toggle-icon-e6e676b0\"><span class=\"gb-accordion__toggle-icon-open\"><\/span><span class=\"gb-accordion__toggle-icon-close\"><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-f3b98e9c\">\n<div class=\"gb-element-03a6d77a\">\n<p class=\"wp-block-paragraph\"><strong>Kore\u00advaar TIM, Leung AM, Alexan\u00adder EK et al.<\/strong> Amer\u00adi\u00adcan Thy\u00adroid Asso\u00adci\u00ada\u00adtion 2026 Guide\u00adlines for Thy\u00adroid Dis\u00adease in Pre\u00adcon\u00adcep\u00adtion, Preg\u00adnan\u00adcy, and Post\u00adpar\u00adtum. <em>Thy\u00adroid<\/em>. 2026;36(5):481\u2013544. doi: 10.1177\/10507256261445624.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>DEGAM \/ AWMF.<\/strong> S2k guide\u00adline \u201cEle\u00advat\u00aded TSH lev\u00adel in gen\u00ader\u00adal prac\u00adtice\u201d, AWMF reg\u00adis\u00adter num\u00adber 053\u2013046.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Poppe K, Biss\u00adchop P, Fugaz\u00adzo\u00adla L et al.<\/strong> 2021 Euro\u00adpean Thy\u00adroid Asso\u00adci\u00ada\u00adtion Guide\u00adline on Thy\u00adroid Dis\u00ador\u00adders pri\u00ador to and dur\u00ading Assist\u00aded Repro\u00adduc\u00adtion. <em>Euro\u00adpean Thy\u00adroid Jour\u00adnal<\/em>. 2021;9(6):281\u2013295. doi: 10.1159\/000512790.<\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item\">\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-31227593\">\n<div class=\"gb-element-26d75121\">\n<p class=\"wp-block-paragraph\"><em>PoppeK,Bisschop PH, Fugaz\u00adzo\u00adla L, Mintziori G, Unuane D &amp; Weghofer A Euro\u00adpean Thy\u00adroid Asso\u00adci\u00ada\u00adtion guide\u00adline on thy\u00adroid dis\u00ador\u00adders pri\u00ador to and dur\u00ading assist\u00aded repro\u00adduc\u00adtion. Euro\u00adpean Thy\u00adroid Jour\u00adnal 2020 9 281\u2013295.<\/em><br><em>Kuro\u00adda M, Kuro\u00adda K, Segawa T, Noh JY, Yoshi\u00adhara A, Ito K, Osa\u00adda H, Take\u00adda S &amp; Ter\u00adamo\u00adto S. Levothy\u00adrox\u00adine sup\u00adple\u00admen\u00adta\u00adtion improves serum anti-M\u00fcl\u00adler\u00adian hor\u00admone lev\u00adels in infer\u00adtile patients with Hashimoto\u2019s thy\u00adroidi\u00adtis. Jour\u00adnal of Obstet\u00adrics and Gynae\u00adcol\u00ado\u00adgy Research 2018 44 739\u2013746<\/em><br><em>Quinti\u00adno-Moro A, Zan\u00adtut-Wittmann DE, Tam\u00adbas\u00adcia M, MacHa\u00addo Hda C &amp; Fer\u00adnan\u00addes A. High preva\u00adlence of infer\u00adtil\u00adi\u00adty among women with Graves\u2019 dis\u00adease and Hashimoto\u2019s thy\u00adroidi\u00adtis. Inter\u00adna\u00adtion\u00adal Jour\u00adnal of Endocrinol\u00ado\u00adgy 2014<\/em><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n<p class=\"wp-block-paragraph\"><br><\/p>\n","protected":false},"excerpt":{"rendered":"<p>How does the TSH lev\u00adel affect fer\u00adtil\u00adi\u00adty? The thy\u00adroid pro\u00adduces hor\u00admones that influ\u00adence numer\u00adous meta\u00adbol\u00adic process\u00ades in the body and also play a role in the female cycle and repro\u00adduc\u00adtion. Pro\u00adnounced thy\u00adroid dys\u00adfunc\u00adtion can there\u00adfore also be rel\u00ade\u00advant when try\u00ading to con\u00adceive. The most impor\u00adtant lab\u00ado\u00adra\u00adto\u00adry val\u00adue for an ini\u00adtial assess\u00adment of thy\u00adroid func\u00adtion is \u2026 <a title=\"TSH and the thy\u00adroid when try\u00ading to con\u00adceive: Which val\u00adues mat\u00adter?\" class=\"read-more\" href=\"https:\/\/kinderwunschaerztin.de\/en\/tsh-and-the-thyroid-when-trying-to-conceive-which-values-matter\/\" aria-label=\"Read more about TSH and the thy\u00adroid when try\u00ading to con\u00adceive: Which val\u00adues mat\u00adter?\">Read more<\/a><\/p>\n","protected":false},"author":6,"featured_media":4351,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"wp_typography_post_enhancements_disabled":false,"footnotes":""},"categories":[225],"tags":[229,231],"class_list":["post-15521","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medical-knowledge","tag-pregnancy","tag-thyroid"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Pregnant despite hypothyroidism | TSH when trying to conceive<\/title>\n<meta name=\"description\" content=\"How does the thyroid affect pregnancy? 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