Can you get pregnant with thyroiditis?

Written by Chen Xie

Endocrinology

Updated on September 29, 2024

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Patients with thyroiditis can become pregnant, but they must keep their thyroid function within the normal range. During the course of thyroiditis, it can manifest in three phases: hyperthyroidism, euthyroidism, and hypothyroidism. When thyroid function is overactive, it is necessary to maintain thyroid function at a basically normal level, and then plan for pregnancy under the guidance of a doctor. For patients with reduced thyroid function, it is even more necessary to maintain thyroid function within the normal range. It is advisable to consult a doctor and plan for pregnancy only after ensuring thyroid function is normal, as reduced thyroid function can impair fetal intellectual development.

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Can thyroiditis be cured?

Whether thyroiditis can be cured depends on different situations. Subacute thyroiditis is a type of thyroiditis clinically characterized by neck pain and fever, which tends to heal on its own, meaning it can return to normal by itself. However, due to its symptoms of pain and fever, symptomatic treatment can be administered to improve symptoms. Acute suppurative thyroiditis is mainly a type of bacterial inflammation, and most patients can be cured with proper anti-infection treatment. However, more commonly seen in clinical practice are autoimmune-related thyroiditis, such as Hashimoto's thyroiditis, which generally cannot be completely cured. Yet, with proper and long-term medication, thyroid function can be restored to normal and can maintain a stable state for a long time without significantly affecting health.

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Endocrinology

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Is thyroiditis fever dangerous?

Fever symptoms in thyroiditis mainly refer to acute suppurative thyroiditis and subacute thyroiditis. Acute suppurative thyroiditis is a purulent infectious disease, often a mixed bacterial infection, commonly occurring after upper respiratory infections or fine-needle aspiration of thyroid nodules. Symptoms can include thyroid enlargement, pain, difficulty swallowing, fever, and other systemic symptoms. Broad-spectrum antibiotics can be used for initial treatment. If the pathogen is identified, the type of antibiotic can be adjusted. Some patients may require incision and drainage if an abscess is present, and in very rare cases, complications such as tracheal obstruction or mediastinitis may occur. Additionally, patients with subacute thyroiditis may also experience fever, usually a mild to moderate increase in body temperature, and in some cases, it can reach 40°C. The fever typically peaks around the third to fourth day and subsides in about a week. Patients with this type of fever can generally use non-steroidal anti-inflammatory drugs, and since subacute thyroiditis is a self-limiting disease, whether the fever in thyroiditis is dangerous depends on the situation.

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Written by Tang Zhuo

Endocrinology

1min 11sec

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What department does thyroiditis fall under?

Thyroiditis is a common disease in endocrinology. Thyroiditis refers to the inflammation of the thyroid gland, which can be divided into two types: bacterial inflammation and autoimmune inflammation. Clinically, thyroiditis can be categorized into three types: the first is called acute suppurative thyroiditis, the second is called subacute thyroiditis, and the third is called chronic thyroiditis. Acute thyroiditis is a bacterial infection and the pathogens can be either bacteria or viruses. It is generally induced by an upper respiratory infection, which may trigger a bacterial or viral infection in the thyroid. Subacute thyroiditis is not a bacterial infection but an immunological inflammatory infection. The third type, chronic thyroiditis, is also known as Hashimoto's disease. All three types of thyroiditis can be treated in the department of endocrinology.

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Endocrinology

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Hashimoto's thyroiditis symptoms

Hashimoto's thyroiditis, also known as chronic lymphocytic thyroiditis, is the primary cause of hypothyroidism. The development of Hashimoto's thyroiditis is closely linked to genetic factors and autoimmune abnormalities caused by disorders in iodine metabolism. The clinical manifestations of Hashimoto's thyroiditis vary, with the typical presentation being a diffuse, firm, painless, mild to moderate enlargement of the thyroid gland. Symptoms of compression in the neck and systemic symptoms are usually not prominent. Thyroid function may be normal or reduced, but thyroid autoantibodies such as thyroglobulin antibodies, thyroid peroxidase antibodies, and thyroid-stimulating hormone antibodies are often present in the bloodstream. Patients with Hashimoto's thyroiditis often have a family history of autoimmune diseases.

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Symptoms of hypothyroidism in thyroiditis

There are many types of thyroiditis, and the most common one associated with hypothyroidism is Hashimoto's thyroiditis. Symptoms of hypothyroidism include multi-system involvement. In the nervous system, it manifests as reduced memory and attention, and drowsiness; in the cardiovascular system, it presents as bradycardia, faint heart sounds, and cardiac enlargement; in the musculoskeletal system, it manifests as slowed movement and joint disorders; in the digestive system, it presents as loss of appetite, bloating, and constipation; in the respiratory system, it manifests as weak and shallow breathing; in the hematologic system, it can manifest as anemia; in the endocrine system, it can present as reduced gonadal function accompanied by hyperprolactinemia, menorrhagia, amenorrhea or infertility, hair loss, and the skin and mucous membranes appear pale with myxedema.