Having hypothyroidism does not necessarily mean permanent infertility. Hypothyroidism primarily involves reduced secretion of thyroid hormones in the body, leading to slowed metabolism. For women, symptoms such as reduced menstrual flow, amenorrhea, or even infertility may occur. However, if diagnosed with hypothyroidism, it is advisable to visit an endocrinology specialist promptly for thyroid hormone replacement therapy. It is recommended to monitor the Thyroid-Stimulating Hormone (TSH) during treatment; many patients with TSH levels below 2.5 can consider pregnancy. Moreover, it is crucial to continue taking thyroid hormones during pregnancy to avoid affecting the fetus.