{"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\u00adro\u00adid when try\u00ading to con\u00adcei\u00adve: Which values mat\u00adter?"},"content":{"rendered":"\n<h3 class=\"gb-text\">How does the TSH level affect fer\u00adti\u00adli\u00adty?<\/h3>\n\n<p class=\"wp-block-paragraph\">The thy\u00adro\u00adid pro\u00addu\u00adces hor\u00admo\u00adnes that influence num\u00ade\u00adrous meta\u00adbo\u00adlic pro\u00adces\u00adses in the body and also play a role in the fema\u00adle cycle and repro\u00adduc\u00adtion. Pro\u00adno\u00adun\u00adced thy\u00adro\u00adid dys\u00adfunc\u00adtion can the\u00adr\u00ade\u00adfo\u00adre also be rele\u00advant when try\u00ading to con\u00adcei\u00adve. <\/p>\n\n<p class=\"wp-block-paragraph\">The most important labo\u00adra\u00adto\u00adry value for an initi\u00adal assess\u00adment of thy\u00adro\u00adid func\u00adtion is TSH (thy\u00adro\u00adid-sti\u00admu\u00adla\u00adting hor\u00admo\u00adne). If the value is abnor\u00admal, fur\u00adther tests such as mea\u00adsu\u00adring the free thy\u00adro\u00adid hor\u00admo\u00adne fT4 and\u2014depending on the cli\u00adni\u00adcal question\u2014thyroid anti\u00adbo\u00addies may be useful. <\/p>\n\n<p class=\"wp-block-paragraph\">Whe\u00adther a thy\u00adro\u00adid eva\u00adlua\u00adti\u00adon is neces\u00adsa\u00adry when try\u00ading to con\u00adcei\u00adve depends on the indi\u00advi\u00addu\u00adal situa\u00adti\u00adon. It is par\u00adti\u00adcu\u00adlar\u00adly rele\u00advant, for exam\u00adp\u00adle, in the case of a known thy\u00adro\u00adid con\u00addi\u00adti\u00adon, cor\u00adre\u00adspon\u00adding sym\u00adptoms, or abnor\u00admal pre\u00advious fin\u00addings. <\/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\u00adro\u00adid, TSH, and fer\u00adti\u00adli\u00adty when try\u00ading to con\u00adcei\u00adve<\/a><\/li>\n\n\n\n<li><a href=\"#therapiem\u00f6glichkeiten\">The\u00adra\u00adpies &amp; tre\u00adat\u00adment opti\u00adons<\/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\">Cau\u00adses of a low or high TSH level<\/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\">Sym\u00adptoms of hypo\u00adthy\u00adro\u00adidism<\/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\u00adro\u00adidi\u00adtis and try\u00ading to con\u00adcei\u00adve<\/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\u00adro\u00adid dys\u00adfunc\u00adtion after pregnan\u00adcy<\/a><\/li>\n<\/ul>\n\n<h2 class=\"gb-text\" id=\"whatis\">Thy\u00adro\u00adid, TSH, and fer\u00adti\u00adli\u00adty when try\u00ading to con\u00adcei\u00adve<\/h2>\n\n<h3 class=\"gb-text\" id=\"whatis\">TSH, T3, and T4: How thy\u00adro\u00adid func\u00adtion is regu\u00adla\u00adted<\/h3>\n\n<p class=\"wp-block-paragraph\">TSH (thy\u00adro\u00adid-sti\u00admu\u00adla\u00adting hor\u00admo\u00adne) is pro\u00addu\u00adced in the pitui\u00adta\u00adry gland and regu\u00adla\u00adtes the pro\u00adduc\u00adtion of thy\u00adro\u00adid hor\u00admo\u00adnes. If their con\u00adcen\u00adtra\u00adti\u00adon in the blood decrea\u00adses, more TSH is usual\u00adly released, sti\u00admu\u00adla\u00adting the thy\u00adro\u00adid to pro\u00addu\u00adce the hor\u00admo\u00adnes T4 (thy\u00adro\u00adxi\u00adne) and T3 (tri\u00adio\u00addo\u00adthy\u00adro\u00adni\u00adne). If the con\u00adcen\u00adtra\u00adti\u00adon of thy\u00adro\u00adid hor\u00admo\u00adnes increa\u00adses, TSH secre\u00adti\u00adon decrea\u00adses again.  <\/p>\n\n<p class=\"wp-block-paragraph\">This regu\u00adla\u00adto\u00adry loop is addi\u00adtio\u00adnal\u00adly con\u00adtrol\u00adled by TRH (thy\u00adro\u00adtro\u00adpin-releasing hor\u00admo\u00adne), which is pro\u00addu\u00adced in the hypo\u00adtha\u00adla\u00admus. Becau\u00adse TSH responds sen\u00adsi\u00adtively to chan\u00adges in thy\u00adro\u00adid func\u00adtion, it is the most important labo\u00adra\u00adto\u00adry value for an initi\u00adal assess\u00adment. If TSH is abnor\u00admal, addi\u00adtio\u00adnal values\u2014especially fT4\u2014can be used for fur\u00adther clas\u00adsi\u00adfi\u00adca\u00adti\u00adon.  <\/p>\n\n<h3 class=\"gb-text\" id=\"whatis\">Recom\u00admen\u00added TSH levels when try\u00ading to con\u00adcei\u00adve and during pregnan\u00adcy<\/h3>\n\n<p class=\"wp-block-paragraph\"><strong>The TSH level is mea\u00adsu\u00adred in the blood and asses\u00adsed based on the refe\u00adrence ran\u00adge of the respec\u00adti\u00adve labo\u00adra\u00adto\u00adry. A sin\u00adgle cut-off value does not app\u00adly equal\u00adly to every life situa\u00adti\u00adon. Age, pregnan\u00adcy, and an exis\u00adting thy\u00adro\u00adid con\u00addi\u00adti\u00adon can also play a role in the assess\u00adment.  <\/strong><\/p>\n\n<p class=\"wp-block-paragraph\">During pregnan\u00adcy, thy\u00adro\u00adid func\u00adtion chan\u00adges, among other fac\u00adtors, due to the influence of the pregnan\u00adcy hor\u00admo\u00adne hCG. Accor\u00adding to the <a href=\"https:\/\/register.awmf.org\/de\/leitlinien\/detail\/053-046?\">cur\u00adrent Ger\u00adman gui\u00adde\u00adline<\/a>, a TSH level of 4.0 mU\/L is con\u00adside\u00adred the upper refe\u00adrence limit if no sui\u00adta\u00adble regio\u00adnal or labo\u00adra\u00adto\u00adry-spe\u00adci\u00adfic refe\u00adrence values for pregnant women are available. A TSH level abo\u00adve 2.5 mU\/L the\u00adr\u00ade\u00adfo\u00adre does not auto\u00adma\u00adti\u00adcal\u00adly mean that hypo\u00adthy\u00adro\u00adidism is pre\u00adsent or that tre\u00adat\u00adment is requi\u00adred.   <\/p>\n\n<p class=\"wp-block-paragraph\">When try\u00ading to con\u00adcei\u00adve, too, a TSH tar\u00adget value below 2.5 mU\/L does not app\u00adly across the board to every woman. The situa\u00adti\u00adon may be dif\u00adfe\u00adrent, for exam\u00adp\u00adle, in the case of alre\u00ada\u00addy known and trea\u00adted hypo\u00adthy\u00adro\u00adidism. In such cases, lower the\u00adra\u00adpeu\u00adtic tar\u00adget values may be aimed for befo\u00adre and during pregnan\u00adcy. Clas\u00adsi\u00adfi\u00adca\u00adti\u00adon should the\u00adr\u00ade\u00adfo\u00adre always be based on the indi\u00advi\u00addu\u00adal base\u00adline situa\u00adti\u00adon.   <\/p>\n\n<h3 class=\"gb-text\" id=\"whatis\">Thy\u00adro\u00adid anti\u00adbo\u00addies and Hashimoto\u2019s: What mat\u00adters when try\u00ading to con\u00adcei\u00adve<\/h3>\n\n<p class=\"wp-block-paragraph\">In Hashimoto\u2019s thy\u00adro\u00adidi\u00adtis, the immu\u00adne sys\u00adtem tar\u00adgets com\u00adpon\u00adents of the thy\u00adro\u00adid. Typi\u00adcal fin\u00addings include anti\u00adbo\u00addies against thy\u00adro\u00adid per\u00adoxi\u00adda\u00adse (TPO anti\u00adbo\u00addies). Thy\u00adro\u00adglo\u00adbu\u00adlin anti\u00adbo\u00addies (Tg anti\u00adbo\u00addies) may also occur. TRAb (TSH recep\u00adtor anti\u00adbo\u00addies), by con\u00adtrast, main\u00adly play a role in Gra\u00adves\u2019 dise\u00ada\u00adse.   <\/p>\n\n<p class=\"wp-block-paragraph\">Howe\u00adver, mea\u00adsu\u00adring thy\u00adro\u00adid anti\u00adbo\u00addies is not gene\u00adral\u00adly neces\u00adsa\u00adry for every woman when try\u00ading to con\u00adcei\u00adve. What mat\u00adters are the indi\u00advi\u00addu\u00adal medi\u00adcal histo\u00adry, thy\u00adro\u00adid func\u00adtion, and exis\u00adting fin\u00addings. A posi\u00adti\u00adve TPO anti\u00adbo\u00addy result also does not auto\u00adma\u00adti\u00adcal\u00adly mean that tre\u00adat\u00adment with thy\u00adro\u00adid hor\u00admo\u00adnes is neces\u00adsa\u00adry.  <\/p>\n\n<p class=\"wp-block-paragraph\">If TSH is ele\u00adva\u00adted, free T4 (fT4) and\u2014depending on the findings\u2014TPO anti\u00adbo\u00addies are mea\u00adsu\u00adred in par\u00adti\u00adcu\u00adlar for fur\u00adther clas\u00adsi\u00adfi\u00adca\u00adti\u00adon. Whe\u00adther tre\u00adat\u00adment with levo\u00adthy\u00adro\u00adxi\u00adne is appro\u00adpria\u00adte depends, among other fac\u00adtors, on whe\u00adther overt or sub\u00adcli\u00adni\u00adcal hypo\u00adthy\u00adro\u00adidism is pre\u00adsent, how high the TSH level is, and whe\u00adther pregnan\u00adcy alre\u00ada\u00addy exists or a thy\u00adro\u00adid con\u00addi\u00adti\u00adon is being trea\u00adted. <\/p>\n\n<p class=\"wp-block-paragraph\">For women with nor\u00admal thy\u00adro\u00adid func\u00adtion and posi\u00adti\u00adve TPO anti\u00adbo\u00addies, it can\u00adnot be gene\u00adral\u00adly con\u00adcluded that pre\u00adven\u00adti\u00adve tre\u00adat\u00adment with levo\u00adthy\u00adro\u00adxi\u00adne impro\u00adves fer\u00adti\u00adli\u00adty or pregnan\u00adcy out\u00adco\u00admes. The decis\u00adi\u00adon should the\u00adr\u00ade\u00adfo\u00adre be made on an indi\u00advi\u00addu\u00adal basis. <\/p>\n\n<p class=\"wp-block-paragraph\"><strong>Good to know:<\/strong> In Ger\u00adma\u00adny, test\u00ading for con\u00adge\u00adni\u00adtal hypo\u00adthy\u00adro\u00adidism is part of new\u00adborn scree\u00adning. For this pur\u00adpo\u00adse, among other things, TSH is mea\u00adsu\u00adred 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\u00adti\u00adli\u00adty test for women<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Thy\u00adro\u00adid func\u00adtion can play a role when try\u00ading to con\u00adcei\u00adve. TSH is the\u00adr\u00ade\u00adfo\u00adre one of the seven <a href=\"https:\/\/kinderwunschaerztin.de\/en\/services\/diagnostics\/hormone-analysis\/\">hor\u00admo\u00adne values<\/a> mea\u00adsu\u00adred by our at-home fer\u00adti\u00adli\u00adty test for women. In addi\u00adti\u00adon to TSH, AMH, FSH, LH, est\u00adra\u00addi\u00adol, pro\u00adlac\u00adtin, and tes\u00adto\u00adste\u00adro\u00adne are mea\u00adsu\u00adred. The results are eva\u00adlua\u00adted by spe\u00adcia\u00adlist phy\u00adsi\u00adci\u00adans and explai\u00adned cle\u00adar\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\u00adti\u00adli\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\">Hypo\u00adthy\u00adro\u00adidism and sub\u00adcli\u00adni\u00adcal hypo\u00adthy\u00adro\u00adidism: The\u00adra\u00adpies &amp; tre\u00adat\u00adment opti\u00adons<\/h2>\n\n<p class=\"wp-block-paragraph\">Hypo\u00adthy\u00adro\u00adidism is usual\u00adly trea\u00adted with levo\u00adthy\u00adro\u00adxi\u00adne (L\u2011thyroxine). The medi\u00adca\u00adti\u00adon replaces the thy\u00adro\u00adid hor\u00admo\u00adne T4, which the body does not pro\u00addu\u00adce in suf\u00adfi\u00adci\u00adent amounts in the case of underac\u00adti\u00advi\u00adty. The requi\u00adred dose is adjus\u00adted indi\u00advi\u00addu\u00adal\u00adly based on thy\u00adro\u00adid values.  <\/p>\n\n<p class=\"wp-block-paragraph\">In sub\u00adcli\u00adni\u00adcal hypothyroidism\u2014i.e., an ele\u00adva\u00adted TSH level with nor\u00admal fT4\u2014treatment is not requi\u00adred in every case. Whe\u00adther levo\u00adthy\u00adro\u00adxi\u00adne is appro\u00adpria\u00adte depends, among other fac\u00adtors, on the level of TSH, addi\u00adtio\u00adnal thy\u00adro\u00adid fin\u00addings, and whe\u00adther pregnan\u00adcy exists or is plan\u00adned.  <\/p>\n\n<p class=\"wp-block-paragraph\">Women with alre\u00ada\u00addy known and trea\u00adted hypo\u00adthy\u00adro\u00adidism should have their thy\u00adro\u00adid values che\u00adcked, if pos\u00adsi\u00adble, befo\u00adre a plan\u00adned pregnan\u00adcy. If the\u00adre is an indi\u00adca\u00adti\u00adon for tre\u00adat\u00adment, levo\u00adthy\u00adro\u00adxi\u00adne can and should also be con\u00adtin\u00adued during pregnan\u00adcy. Becau\u00adse the need for thy\u00adro\u00adid hor\u00admo\u00adnes often increa\u00adses during pregnan\u00adcy, regu\u00adlar moni\u00adto\u00adring is important and the dose may need to be adjus\u00adted.  <br><\/p>\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n<h2 class=\"gb-text\">Cau\u00adses of a low or high TSH level<\/h2>\n\n<p class=\"wp-block-paragraph\">A TSH level out\u00adside the refe\u00adrence ran\u00adge may indi\u00adca\u00adte alte\u00adred thy\u00adro\u00adid func\u00adtion. For fur\u00adther clas\u00adsi\u00adfi\u00adca\u00adti\u00adon, the free thy\u00adro\u00adid hormones\u2014especially fT4\u2014are taken into account. <\/p>\n\n<p class=\"wp-block-paragraph\">A low TSH level may indi\u00adca\u00adte hyper\u00adthy\u00adro\u00adidism. Pos\u00adsi\u00adble cau\u00adses include, for exam\u00adp\u00adle: <\/p>\n\n<ul class=\"wp-block-list\">\n<li><strong>Gra\u00adves\u2019 dise\u00ada\u00adse<\/strong><\/li>\n\n\n\n<li><strong>thy\u00adro\u00adid auto\u00adno\u00admy, for exam\u00adp\u00adle due to auto\u00adno\u00admous nodu\u00adles<\/strong><\/li>\n<\/ul>\n\n<p class=\"wp-block-paragraph\">Gra\u00adves\u2019 dise\u00ada\u00adse is an auto\u00adim\u00admu\u00adne con\u00addi\u00adti\u00adon in which anti\u00adbo\u00addies against the TSH recep\u00adtor (TRAb) sti\u00admu\u00adla\u00adte the thy\u00adro\u00adid and can ther\u00adeby trig\u00adger increased pro\u00adduc\u00adtion of thy\u00adro\u00adid hor\u00admo\u00adnes. In addi\u00adti\u00adon to the thy\u00adro\u00adid, the con\u00addi\u00adti\u00adon can also affect other organs, espe\u00adci\u00adal\u00adly the eyes. <\/p>\n\n<p class=\"wp-block-paragraph\">An ele\u00adva\u00adted TSH level, by con\u00adtrast, may indi\u00adca\u00adte hypo\u00adthy\u00adro\u00adidism. A com\u00admon cau\u00adse is Hashimoto\u2019s thy\u00adro\u00adidi\u00adtis, an auto\u00adim\u00admu\u00adne dise\u00ada\u00adse of the thy\u00adro\u00adid. Howe\u00adver, whe\u00adther the\u00adre is actual\u00adly hypo\u00adthy\u00adro\u00adidism requi\u00adring tre\u00adat\u00adment does not depend on the TSH level alo\u00adne.  <\/p>\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n<h2 class=\"gb-text\" id=\"symptome\">Sym\u00adptoms of hypo\u00adthy\u00adro\u00adidism<\/h2>\n\n<p class=\"wp-block-paragraph\">Hypo\u00adthy\u00adro\u00adidism can pre\u00adsent with various, often non-spe\u00adci\u00adfic sym\u00adptoms. Espe\u00adci\u00adal\u00adly when try\u00ading to con\u00adcei\u00adve or plan\u00adning a pregnan\u00adcy, it can be important to detect an exis\u00adting thy\u00adro\u00adid con\u00addi\u00adti\u00adon ear\u00adly and tre\u00adat it if neces\u00adsa\u00adry. <\/p>\n\n<p class=\"wp-block-paragraph\">Pos\u00adsi\u00adble sym\u00adptoms of hypo\u00adthy\u00adro\u00adidism include:<\/p>\n\n<ul class=\"wp-block-list\">\n<li><strong>Fati\u00adgue<\/strong><\/li>\n\n\n\n<li><strong>dry skin<\/strong><\/li>\n\n\n\n<li><strong>con\u00ads\u00adti\u00adpa\u00adti\u00adon<\/strong><\/li>\n\n\n\n<li><strong>mus\u00adcle or joint pain<\/strong><\/li>\n\n\n\n<li><strong>increased sen\u00adsi\u00adti\u00advi\u00adty to cold and fee\u00adling cold more often<\/strong><\/li>\n\n\n\n<li><strong>con\u00adcen\u00adtra\u00adti\u00adon and memo\u00adry pro\u00adblems<\/strong><\/li>\n\n\n\n<li><strong>chan\u00adges in the mens\u00adtru\u00adal cycle<\/strong><\/li>\n<\/ul>\n\n<p class=\"wp-block-paragraph\">Becau\u00adse the\u00adse sym\u00adptoms can also have many other cau\u00adses, hypo\u00adthy\u00adro\u00adidism can\u00adnot be dia\u00adgno\u00adsed based on sym\u00adptoms alo\u00adne. For cla\u00adri\u00adfi\u00adca\u00adti\u00adon, thy\u00adro\u00adid values are mea\u00adsu\u00adred 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\u00adro\u00adidi\u00adtis and try\u00ading to con\u00adcei\u00adve<\/h2>\n\n<p class=\"wp-block-paragraph\">Hashimoto\u2019s thy\u00adro\u00adidi\u00adtis is an auto\u00adim\u00admu\u00adne dise\u00ada\u00adse of the thy\u00adro\u00adid. The immu\u00adne sys\u00adtem tar\u00adgets com\u00adpon\u00adents of thy\u00adro\u00adid tis\u00adsue. Over time, thy\u00adro\u00adid func\u00adtion can decli\u00adne and hypo\u00adthy\u00adro\u00adidism may deve\u00adlop. Typi\u00adcal fin\u00addings include ele\u00adva\u00adted TPO anti\u00adbo\u00addies; thy\u00adro\u00adglo\u00adbu\u00adlin anti\u00adbo\u00addies (Tg anti\u00adbo\u00addies) may also be detec\u00adta\u00adble.   <\/p>\n\n<p class=\"wp-block-paragraph\">Hashimoto\u2019s is rela\u00adtively com\u00admon in women of repro\u00adduc\u00adti\u00adve age and can the\u00adr\u00ade\u00adfo\u00adre also play a role when try\u00ading to con\u00adcei\u00adve. Thy\u00adro\u00adid dys\u00adfunc\u00adtion can affect the cycle and fer\u00adti\u00adli\u00adty, among other things. Stu\u00addies also show asso\u00adcia\u00adti\u00adons bet\u00adween auto\u00adim\u00admu\u00adne thy\u00adro\u00adid dise\u00ada\u00adse and various repro\u00adduc\u00adti\u00adve fac\u00adtors. Howe\u00adver, the ext\u00adent to which thy\u00adro\u00adid autoimmunity\u2014independent of thy\u00adro\u00adid func\u00adtion itself\u2014affects fer\u00adti\u00adli\u00adty has not yet been con\u00adclu\u00adsi\u00adve\u00adly cla\u00adri\u00adfied.   <\/p>\n\n<p class=\"wp-block-paragraph\">When try\u00ading to con\u00adcei\u00adve, the key fac\u00adtor is the\u00adr\u00ade\u00adfo\u00adre pri\u00adma\u00adri\u00adly whe\u00adther the thy\u00adro\u00adid pro\u00addu\u00adces suf\u00adfi\u00adci\u00adent hor\u00admo\u00adnes. If Hashimoto\u2019s is asso\u00adcia\u00adted with hypo\u00adthy\u00adro\u00adidism requi\u00adring tre\u00adat\u00adment, it is trea\u00adted with levo\u00adthy\u00adro\u00adxi\u00adne, and thy\u00adro\u00adid levels should be che\u00adcked alre\u00ada\u00addy befo\u00adre pregnan\u00adcy. Posi\u00adti\u00adve thy\u00adro\u00adid anti\u00adbo\u00addies alo\u00adne, by con\u00adtrast, do not auto\u00adma\u00adti\u00adcal\u00adly mean that tre\u00adat\u00adment with levo\u00adthy\u00adro\u00adxi\u00adne is neces\u00adsa\u00adry.  <\/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\u00adro\u00adidi\u00adtis: Thy\u00adro\u00adid dys\u00adfunc\u00adtion after pregnan\u00adcy<\/h2>\n\n<p class=\"wp-block-paragraph\">Post\u00adpar\u00adtum thy\u00adro\u00adidi\u00adtis is an inflamm\u00ada\u00adto\u00adry auto\u00adim\u00admu\u00adne dise\u00ada\u00adse of the thy\u00adro\u00adid that can occur within the first year after child\u00adbirth. It affects about 5\u201310% of women after pregnan\u00adcy; it is more com\u00admon in cer\u00adtain risk groups.  <\/p>\n\n<p class=\"wp-block-paragraph\">Typi\u00adcal\u00adly, an initi\u00adal pha\u00adse with ele\u00adva\u00adted thy\u00adro\u00adid hor\u00admo\u00adne levels may occur, fol\u00adlo\u00adwed by a pha\u00adse of hypo\u00adthy\u00adro\u00adidism. Howe\u00adver, not all women go through both pha\u00adses. Some expe\u00adri\u00adence only a hyper\u00adthy\u00adro\u00adid or only a hypo\u00adthy\u00adro\u00adid pha\u00adse.  <\/p>\n\n<p class=\"wp-block-paragraph\">In the ear\u00adly pha\u00adse, sym\u00adptoms such as pal\u00adpi\u00adta\u00adti\u00adons, rest\u00adless\u00adness, sleep dis\u00adtur\u00adban\u00adces, or weight loss may occur. In the later hypo\u00adthy\u00adro\u00adid pha\u00adse, fati\u00adgue, weight gain, con\u00ads\u00adti\u00adpa\u00adti\u00adon, dry skin, or depres\u00adsi\u00adve mood are pos\u00adsi\u00adble. Becau\u00adse some of the\u00adse sym\u00adptoms are also com\u00admon in the post\u00adpar\u00adtum peri\u00adod, the con\u00addi\u00adti\u00adon is not always reco\u00adgni\u00adzed imme\u00addia\u00adte\u00adly.   <\/p>\n\n<p class=\"wp-block-paragraph\">Immu\u00adno\u00adlo\u00adgi\u00adcal\u00adly, post\u00adpar\u00adtum thy\u00adro\u00adidi\u00adtis resem\u00adbles Hashimoto\u2019s thy\u00adro\u00adidi\u00adtis and is often asso\u00adcia\u00adted with TPO anti\u00adbo\u00addies. Whe\u00adther tre\u00adat\u00adment is neces\u00adsa\u00adry depends on the pha\u00adse and the seve\u00adri\u00adty of sym\u00adptoms. In many women, thy\u00adro\u00adid func\u00adtion nor\u00adma\u00adli\u00adzes again within 12 to 18 months; howe\u00adver, in some, per\u00adma\u00adnent hypo\u00adthy\u00adro\u00adidism 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 rea\u00adding:<\/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>Kor\u00ade\u00advaar TIM, Leung AM, Alex\u00adan\u00adder EK et al.<\/strong> Ame\u00adri\u00adcan Thy\u00adro\u00adid Asso\u00adcia\u00adti\u00adon 2026 Gui\u00adde\u00adlines for Thy\u00adro\u00adid Dise\u00ada\u00adse in Pre\u00adcon\u00adcep\u00adti\u00adon, Pregnan\u00adcy, and Post\u00adpar\u00adtum. <em>Thy\u00adro\u00adid<\/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 gui\u00adde\u00adline \u201cEle\u00adva\u00adted TSH level in gene\u00adral prac\u00adti\u00adce\u201d, AWMF regis\u00adter num\u00adber 053\u2013046.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Pop\u00adpe K, Biss\u00adchop P, Fugaz\u00adzo\u00adla L et al.<\/strong> 2021 Euro\u00adpean Thy\u00adro\u00adid Asso\u00adcia\u00adti\u00adon Gui\u00adde\u00adline on Thy\u00adro\u00adid Dis\u00ador\u00adders pri\u00ador to and during Assis\u00adted Repro\u00adduc\u00adtion. <em>Euro\u00adpean Thy\u00adro\u00adid 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, Mint\u00adzio\u00adri G, Unua\u00adne D &amp; Weg\u00adho\u00adfer A Euro\u00adpean Thy\u00adro\u00adid Asso\u00adcia\u00adti\u00adon gui\u00adde\u00adline on thy\u00adro\u00adid dis\u00ador\u00adders pri\u00ador to and during assis\u00adted repro\u00adduc\u00adtion. Euro\u00adpean Thy\u00adro\u00adid Jour\u00adnal 2020 9 281\u2013295.<\/em><br><em>Kur\u00ado\u00adda M, Kur\u00ado\u00adda K, Sega\u00adwa T, Noh JY, Yoshi\u00adha\u00adra A, Ito K, Osa\u00adda H, Take\u00adda S &amp; Tera\u00admo\u00adto S. Levo\u00adthy\u00adro\u00adxi\u00adne sup\u00adple\u00admen\u00adta\u00adti\u00adon impro\u00adves serum anti-M\u00fcl\u00adle\u00adri\u00adan hor\u00admo\u00adne levels in infer\u00adti\u00adle pati\u00adents with Hashimoto\u2019s thy\u00adro\u00adidi\u00adtis. Jour\u00adnal of Obste\u00adtrics and Gynae\u00adco\u00adlo\u00adgy Rese\u00adarch 2018 44 739\u2013746<\/em><br><em>Quin\u00adti\u00adno-Moro A, Zan\u00adtut-Witt\u00admann DE, Tam\u00adba\u00adscia M, MacHa\u00addo Hda C &amp; Fer\u00adnan\u00addes A. High pre\u00adva\u00adlence of infer\u00adti\u00adli\u00adty among women with Gra\u00adves\u2019 dise\u00ada\u00adse and Hashimoto\u2019s thy\u00adro\u00adidi\u00adtis. Inter\u00adna\u00adtio\u00adnal Jour\u00adnal of Endo\u00adcri\u00adno\u00adlo\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 level affect fer\u00adti\u00adli\u00adty? The thy\u00adro\u00adid pro\u00addu\u00adces hor\u00admo\u00adnes that influence num\u00ade\u00adrous meta\u00adbo\u00adlic pro\u00adces\u00adses in the body and also play a role in the fema\u00adle cycle and repro\u00adduc\u00adtion. Pro\u00adno\u00adun\u00adced thy\u00adro\u00adid dys\u00adfunc\u00adtion can the\u00adr\u00ade\u00adfo\u00adre also be rele\u00advant when try\u00ading to con\u00adcei\u00adve. The most important labo\u00adra\u00adto\u00adry value for an initi\u00adal assess\u00adment of thy\u00adro\u00adid func\u00adtion is \u2026 <a title=\"TSH and the thy\u00adro\u00adid when try\u00ading to con\u00adcei\u00adve: Which values 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\u00adro\u00adid when try\u00ading to con\u00adcei\u00adve: Which values 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 v28.6 - 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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