I visited a new gynecologist, he asked about everything in detail, he did a family history, he asked about the burden of diseases, etc. Then he made an ultrasound of the child and the thyroid gland, because my mother is undergoing treatment. It is also an endocrinologist. He stated that I have Hashimoto's disease. I have never had research in this regard before. My teacher didn't even order TSH, and I'm already 26 weeks pregnant. I have read and I know what effect untreated Hashimoto's have on a child. I do not understand why I did not have the research commissioned, since they have such a huge impact on the child.
Testing for Hashimoto's disease during pregnancy is not routine testing. They are not performed unless there are indications (clinical symptoms of hypothyroidism or hyperthyroidism, status after treatment of thyroid disease, treatment with thyroid hormones, diabetes mellitus). If none of the above indications are present, there are no indications for a thyroid screening test. You have probably read about Hashimoto's disease with overt hypothyroidism and it is not this disease, but hypothyroidism, that has a negative impact on the development of pregnancy. In the case of latent hypothyroidism (TSH above the norm, fT4 normal) and in the case of normal values of both hormones, pregnancy, despite Hashimoto's disease, develops normally.
Remember that our expert's answer is informative and will not replace a visit to the doctor.
Barbara GrzechocińskaAssistant professor at the Department of Obstetrics and Gynecology at the Medical University of Warsaw. I accept privately in Warsaw at ul. Krasińskiego 16 m 50 (registration is available every day from 8 a.m. to 8 p.m.).
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