Patient's question:
I have an itchy lower body, and my underwear is always yellow. What's going on? Can I get pregnant with hyperthyroidism?Doctor's answer:
Patients with hyperthyroidism who become pregnant should pay attention to the following points:1. Strict perinatal monitoring: The period from pregnancy, delivery to postpartum is called the perinatal period. During this time, the following should be ensured:
① Regularly check thyroid hormone levels in the blood to maintain them at a slightly elevated normal level. If the values are normal, medication can be reduced or discontinued.
② Adjust medication dosage appropriately.
③ Avoid various infections and seek timely treatment if an infection occurs.
④ Stay hospitalized under the supervision of obstetricians and endocrinologists before and after delivery. If signs of a thyroid storm appear, early intervention is necessary.
⑤ Pay attention to the pattern of worsening symptoms in the early stages of hyperthyroidism during pregnancy, improvement in the middle and late stages, and recurrence or worsening 2–6 months postpartum. Strengthen monitoring and treatment.
2. Selection of antithyroid drugs: Pregnant women with hyperthyroidism should consult an endocrinology specialist early for medication guidance and monitor maternal hormone levels to achieve mild hyperthyroidism or thyroid function at the upper limit of the normal range. This helps prevent fetal hyperthyroidism or hypothyroidism. Currently, the most commonly used drugs for treating hyperthyroidism are imidazole and thioamides. These are generally suitable for non-pregnant patients with hyperthyroidism.