Aa
Aa
A
A
A
Close
Avatar universal

Important to know!

Hypothyroidism -- an underactive thyroid -- is a frequent cause of infertility. The hypothalamus and pituitary gland can sense an underactive thyroid gland and try to kick things back to normal by increasing levels of the hormones TRH (thyroid-releasing hormone) and TSH (thyroid-stimulating hormone) in your body. TRH prompts the pituitary to release TSH, which in turn stimulates the thyroid to do its job. However, TRH also prompts the pituitary to release more of the hormone prolactin. Elevations of prolactin can interfere with ovulation by suppressing release of the hormones LH and FSH, which stimulate the ovary. Low levels of thyroid hormone can also interfere with the rate at which your body metabolizes sex hormones, which can cause ovulatory disorders.

Excess thyroid hormone -- resulting either from an overactive thyroid gland or from taking too much thyroid hormone -- can also cause problems. Thyroid hormone can block the effect of estrogen at various points in the body. That means the estrogen will not be as effective at getting its job done. This can make the endometrium (uterine lining) unstable and cause abnormal uterine bleeding.


A simple blood test for TSH or thyroid-stimulating hormone is the most sensitive way to predict thyroid abnormality. If you are found to have an underactive thyroid gland, thyroid hormone replacement can be effective at restoring fertility. It make take two to three months to regulate your thyroid hormone levels with medication; this should be done before you try to get pregnant.
2 Responses
Sort by: Helpful Oldest Newest
Avatar universal
I had thyroid cancer and hypothyroidism.  Had a lobectomy in 2004.  Just realizing that not taking my meds regularly and being on the wrong dosage and caused my ovulation to be messed up.  With my docs help and support it seems we are getting things on track. Ready to try again....
Helpful - 0
Avatar universal
If you have Hirshimoto's you also have problems with fertility. It is rare and difficult to diagnose that particular form of thyroid complication but worth it for anyone who has fertlity problems.
Helpful - 0
Have an Answer?

You are reading content posted in the Pregnancy Community

Top Pregnancy Answerers
13167 tn?1327194124
Austin, TX
Learn About Top Answerers
Didn't find the answer you were looking for?
Ask a question
Popular Resources
Get information and tips on how to help you choose the right place to deliver your baby.
Get the facts on how twins and multiples are formed and your chance of carrying more than one baby at a time.
Learn about the risks and benefits of circumcision.
What to expect during the first hours after delivery.
Learn about early screening and test options for your pregnancy.
Learn about testing and treatment for GBS bacterium.