The Connection between Thyroid and Female Fertility Problem

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VIVA – Hormones in a woman's body are needed to maintain fertility, which affects the chances of pregnancy. It turns out that fertility problems could happen due to a slight disturbance in a small organ called the thyroid

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Chairman of the Central Board of the Indonesia Thyroid Association Dr Tjokorda Gde Dalem Pemayun said that disorders can occur so that there is too much or too little thyroid. Usually, thyroid function disorders are called hyperthyroid or hypothyroidism which makes hormonal conditions in the body. 

Disrupted thyroid hormones do not affect thyroid function. Rather, they harm hormones throughout the body to maintain the balance of other organ work functions such as bone growth, and metabolism of carbohydrates, proteins, and fats to maintain body temperature.

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Disruption of the menstrual cycle is no exception, which is a sign of fertility problems.

"If this hormone is less or more, other hormones are also disturbed. One thing that appears is that the menstrual cycle does not come well," he said at the media event "Collaboration to Improve Screening and Diagnosis of Thyroid Disorders in Indonesia" with Merck, in Jakarta on Thursday. 

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Other symptoms of infertility that may appear due to thyroid hormone disorders include excessive hair loss. This symptom also often appears in women who have cancer and after undergoing surgery accompanied by disturbances in their thyroid hormones. 

"The most common is hypothyroidism. If the mother is hypothyroid because she has cancer surgery does not comply with taking medication, then, there will be serious disorders," he informed. 

Meanwhile, hyperthyroidism is characterized by the rare appearance of menstruation in women of childbearing age. But to recognize it, you need a test that can measure thyroid-stimulating hormone (TSH) and free T4 (FT4) levels. 

"Do all these disorders have an effect? The answer is not really. The important thing is that symptoms appear first. If the symptoms are present, it is mandatory to test thyroid function, namely thyroid-stimulating hormone (TSH) and free T4 (FT4)," he added.  

Even so, the doctor mentioned that her fertility can return if the hormone is treated properly. However, the treatment must be done as soon as possible and appropriately so that her fertility returns to normal.

"To the best of my knowledge, if corrected properly, even with hypothyroidism not pregnant, infertile, she (can) return to normal," he stated. 

Furthermore, Dr Pemayun emphasized that thyroid disorders in pregnant women can trigger grave diseases that trigger similar problems in the fetus.

As many as 25 percent of cases of mothers with thyroid disorders trigger congenital hypothyroidism in the fetus. So, early screening is needed so that it can be avoided appropriately. 

Therefore, increasing the capability of health workers, especially doctors in all multi-disciplines on screening and diagnosing thyroid disorders as early as possible is crucial to prevent further complications of serious health problems, as well as ensuring quality health services related to the management of thyroid disorders can be provided for the entire community. 

This can only be realized through powerful collaboration between various stakeholders to promote an increased understanding of thyroid disorders.  

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