If pregnant women have hypothyroidism (hypothyroidism) and hypothyroidism, the impact on the fetus is greater than hyperthyroidism, and the abortion rate of the fetus and perinatal mortality rate increase.
Autoimmune diseases such as hyperthyroidism or Hashimoto's disease may be inherited, but most of them will give birth to 1 healthy children. Now after giving birth, there will be screening for thyroid diseases. Even if there is a disease, if it can be found in time, the child will be treated in time.
Hashimoto's hypothyroidism is hereditary, but some hypothyroidism is caused by the disorder of thyroid hormone synthesis, and some are hereditary. Generally, TSH will have a physiological peak in 20-60 minutes after birth, and 1-4 days will gradually decrease, so it is best to detect it within 30 minutes or 4-7 days after birth. The sooner children with hypothyroidism are treated, the better.
Common thyroid diseases, such as hyperthyroidism, hypothyroidism and Hashimoto's disease (chronic lymphocytic thyroiditis, mostly hypothyroidism), are all autoimmune diseases, with abnormal thyroid function and immune function. Serum contains high concentration of antithyroid globulin antibiotics and anti-microsomal antibodies. These antibodies can enter the fetus through the placenta, leading to hypothyroidism in newborns. Due to the change of postpartum immune function, hyperthyroidism and hypothyroidism can be aggravated. Breast milk has the ability to concentrate iodine. Breast milk, such as hypothyroidism and chronic thyroiditis, will affect the supply of iodine for infants, resulting in iodine deficiency and hypothyroidism, which will affect the development of brain tissue and bones. So this situation is not suitable for breastfeeding.
Hyperthyroidism patients often get worse after delivery and need to increase the dose of antithyroid drugs. Drugs can affect the thyroid function of infants through milk. For example, the concentration of tabazo in breast milk is three times higher than that in blood, so it is not appropriate to breastfeed when taking large doses every day. Mothers taking radioactive 13 1 iodine therapy can also cause hypothyroidism in infants through milk. So pregnant women with this disease can't breastfeed.
As long as you have hypothyroidism, it means that your thyroid function is not enough. Naturally, it will affect yourself and your children. However, if you take medicine reasonably during pregnancy, you can ensure that all indicators are within the normal range, and the impact on children will be smaller. It is difficult to quantify the impact. After all, the project we are testing is only a few simple quantitative indicators of a complex energy conversion system. In other words, if you get hypothyroidism, even if you take medicine to normal, you can't say that the disease has no effect on your child. After all, there are still some injuries that these values can't express. As for those two tests, they are not specifically aimed at hypothyroidism, but at all pregnant women who may have a bad fetus.
What is the change of sexual function in patients with hyperthyroidism and hypothyroidism?
(1) The changes of sexual function in patients with hyperthyroidism usually show various sexual dysfunction. About 10%-20% patients have hypersexuality, especially patients with mild hyperthyroidism; About 30%-40% of patients have decreased sexual desire. Male impotence patients account for about 40%, and female patients often have menstrual disorders (such as decreased menstrual flow or amenorrhea, prolonged, shortened or irregular menstrual cycle); About 5%- 10% of patients have increased orgasm and sexual excitement, but some people have weakened it.
(2) Patients with hypothyroidism often have sexual dysfunction. About 80% of male patients have decreased sexual desire, and 40%-50% of patients have different degrees of impotence. About 80% of female patients are difficult to cause sexual excitement.
(3) Children with hypothyroidism lack thyroid hormone for a long time, which makes puberty stagnate, grow and delay; But there are also precocious puberty. Patients with moderate to severe hypothyroidism often lose their fertility. Male patients show that sperm production is inhibited, and female patients have a high abortion rate after pregnancy.
(4) Whether patients with hyperthyroidism or hypothyroidism can have a normal sexual life. Whether patients with hyperthyroidism or hypothyroidism can lead a normal sexual life depends on their condition. Generally speaking, patients with mild or moderate or severe illness can have moderate sexual life if their pathological changes are controlled, their symptoms disappear and their life activities tend to be normal after treatment.
However, people should pay attention to the following issues:
① Hyperthyroidism patients have various nervous system symptoms, such as excitability, paranoia, allergy, fear and anxiety. Autonomic nerve excitability is enhanced, and palpitation and arrhythmia appear. In addition, there are neuromuscular dysfunction, limb trembling and weakness. Sexual excitement can often induce or aggravate the above symptoms.
② Some patients with hyperthyroidism and hypothyroidism have seriously affected the harmony of husband and wife's sexual life and can't have normal sexual life. Therefore, targeted treatment must be actively carried out to restore sexual function.
③ The menstrual cycle of hyperthyroidism patients is often irregular, and the cycle is prolonged, but also shortened, with less menstrual flow and even amenorrhea. So the chances of getting pregnant are not great. If you are pregnant, you have a greater chance of miscarriage. Male patients are characterized by azoospermia or oligozoospermia because of the inhibition of sperm production, and must be actively treated according to the etiology in order to achieve the purpose of fertility.
④ When the hyperthyroidism patients' condition is stable, that is, the clinical symptoms are basically controlled after repeated treatment, the total serum triiodothyronine (T3) or tetraiodothyronine (T4) all return to normal, and the thyroid iodine uptake rate reaches the normal level (4%-30% in 2 hours and 25%-65% in 24 hours). After stopping taking drugs for more than half a year, people can generally have a normal sex life. Because sexual life often makes hyperthyroidism relapse or aggravate, some patients take medicine for more than 1 year, and about 1/2- 1/3 people still relapse after stopping taking medicine, so the recovery of sexual life must be carried out under the supervision of doctors.
⑤ Hyperthyroidism patients take drugs for a long time, and the drugs they take, such as tabazole, β-blockers, reserpine and guanethidine, have teratogenic effects. Therefore, in order to avoid fetal malformation caused by drugs and whether you can get pregnant after resuming sexual life, you should accept the guidance of a doctor.