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Will my wife conceive while on treatment for hypothyroidism?

Q: My 32 years old wife was recently diagnosed with hypothyroidism. We are planning for a child. What is the right treatment for hypothyroidism and how long does she needed to be treated? Will my wife conceive while on treatment for hypothyroidism?

A:Yes, she can plan a pregnancy and with medication, all goes well in the majority of the cases. The risk of hypothyroidism are early abortion, fetal abnormality, small baby, preterm labour - and these need to be looked out for as well as regular monitoring for thyroid function tests - quarterly. The medication can be continued even after delivery when the requirements may change. After delivery problems can develop on return of menses and breast feeding in case the thyroid is not under control. Postnatal depression too may become manifest and need treatment.

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