Does goiter affect fertility?

Patient's question:

Does goiter affect fertility? Doctor, hello. I've been married for half a year and am planning to have a child. During a check-up, I found out my thyroid is enlarged. Could this have a negative impact on pregnancy? Does goiter affect fertility?

Doctor's answer:

Hello, goiter does not affect pregnancy. A thyroid cyst is a fluid-filled sac found in the thyroid gland. Thyroid function tests are usually within the normal range, without hyperthyroidism, hypothyroidism, etc., and generally do not affect fetal development.
Suggestions: Patients with abnormal thyroid function often have impaired ovarian function, including infrequent ovulation, menstrual disorders, or amenorrhea and anovulation, making pregnancy difficult. During the onset of the disease, contraception is necessary. Pregnancy is particularly risky for patients with hyperthyroidism or hypothyroidism, and it is essential to wait until recovery before conceiving. Additionally, regular monitoring and treatment under strict medical guidance are required.

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