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Thyroid conditions during pregnancy are very common and require special attention. Women on thyroid hormone replacement will usually need a dose increase during pregnancy. Optimizing thyroid levels prevents adverse outcomes for both the mother and the baby. Using the lab "normal range" does not suffice when addressing thyroid issues during pregnancy. Abnormal thyroid labs are sometimes part of a normal pregnancy; however, thorough evaluation of these abnormalities is often required.


Postpartum thyroiditis is a painless inflammation of the thyroid gland that can occur in the mother usually four to twelve months after childbirth. Research suggests this is an immune system attack on the thyroid, similar to Hashimoto's thyroiditis. Immune system disorders or a prior history of thyroiditis may increase your risk of postpartum thyroiditis.

Signs and Symptoms
If you have postpartum thyroiditis, you may initially experience signs and symptoms of an overactive thyroid (hyperthyroidism), then those of an underactive thyroid (hypothyroidism), or even one without the other. Any significant change in the way you are feeling after pregnancy should prompt a thyroid evaluation for this relatively common condition.
Detection and Diagnosis
The most common method to diagnosis postpartum thyroiditis is by blood tests.
Treatment options depend of the particular type of postpartum thyroiditis and include beta blockers to reduce symptoms of hyperthyroidism, thyroid hormone replacement therapy for hypothyroidism, or simply observation. In most cases, thyroid function returns to normal within 12 to 18 months after onset of symptoms. Some women however, develop long-term hypothyroidism and need lifelong thyroid hormone replacement therapy.
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