You may be prescribed medication for your thyroid even though you do not show any symptoms. The thyroid gland provides signals to your body to produce TSH or thyroid stimulating hormones. If your thyroid production is high TSH is suppressed. If your thyroid production is low TSH is increased to boost production. Hyper- and hypothyroidism are associated with infertility.

The symptoms include:

• Hyperthyroidism
• Loss of weight
• Sleeplessness
• Irregular cycles
• Excess sweating
• Hypothyroidism
• Gain in weight
• Mild constipation
• Hair loss & dry skin
• Irregular cycles
• Tiredness and general fatigue

The thyroid undergoes changes during pregnancy as well and it plays a key role in pregnancy and brain development of the fetus. Most women with normal thyroid function have no issues, but if you are diagnosed with hypothyroidism, you will need thyroid hormones to supplement. If you have hyperthyroidism, it can cause premature delivery as well as fetal growth issues. This can be medicated and adjusted during pregnancy.

We urge you to be aware of the symptoms of thyroid and seek a diagnosis even if the symptoms are mild. The treatment is well documented and can substantially improve fertility outcomes.

We recommend thyroid testing for women with infertility or a recent pregnancy loss or history within the family for thyroid disease.

• If you are diagnosed with hypothyroidism, we recommend thyroid replacement medication
• If you are diagnosed with hyperthyroidism, we recommend anti-thyroid medication