What should be the norm of TTG in planning pregnancy?

Planning pregnancy is the key to successful conception, gestation and birth of a healthy baby. During planning, the future mother should undergo a series of laboratory and instrumental examinations.

Recommendations at the planning stage


The first step in conscious planning of pregnancy is the rejection of bad habits and lifestyle changes. More attention should be given to healthy sleep and walking. If a woman regularly visits the gym, the load should be reduced. Correctly selected diet from balanced products helps to feel good and maintain optimal weight.

It is necessary to consult a doctor and take a smear and a general blood test.

What effect does the thyroid gland have on pregnancy?

Particular attention is paid to the thyroid gland. This is the main organ of the endocrine system, which performs a very important function - it produces a thyroid-stimulating hormone (TSH). This hormone is responsible for the pituitary gland in the brain. In a complex with TTG other thyroid hormones - T3 and T4, responsible for the function of the sexual and nervous systems.

The change in the hormone TSH index reflects the overall hormonal background. If the endocrine system is experiencing a deficiency of hormones triiodothyronine (T3) and thyroxine (T4), then regulates their amount of TSH by increasing their level. If T3 and T4 in excess, the level of TSH is reduced.


How does TTG affect pregnancy?

Norm TTG at planning of pregnancy up to 4 mkAD / l. With a sharp increase in the level of the hormone should consult a doctor.

The endocrine system is responsible for the woman's reproductive health. Violation of the normal level of TSH production in women directly affects the ability to conceive and bear the child.

A high level of TSH occurs in hypothyroidism. It leads to dangerous disorders in the ovaries. Follicles stop ripening, and ovulation stops. Therefore, the concept of the thyroid gland and infertility are closely related. Hypothyroidism and infertility follow one after another. In addition to infertility, hypothyroidism causes a violation of the menstrual cycle and fetal development abnormalities.

Disturbances in the thyroid gland lead to endocrine infertility. Even if conception occurs, the pregnancy stops spontaneously, and the fruit is rejected. Therefore, doctors prescribe the delivery of tests to the level of TTG.

During pregnancy, the clinical picture changes. Hormones are reconstructed to a new state of the woman's body. Because how effectively the hormone is produced during pregnancy, the physical and intellectual development of the unborn child depends. Ideal is an increase in TSH by 50%.

What is autoimmune thyroiditis?

Autoimmune thyroiditis is the most dangerous disease of the thyroid gland. He is considered to be a genetic disease. This is a serious pathology, which is accompanied by a change in the gland tissues. Infiltration of the thyroid tissue during pregnancy is usually observed in women with a deficiency of iodine. During the development of the disease in the body of a future mother, antibodies to the cells of the epithelium of the thyroid gland develop. The cells of the gland are destroyed and replaced with a connective tissue, forming scars. This process accompanies thyroid fibrosis.

The body increases the level of TSH to adjust the synthesis of hormones. When planning pregnancy, an increase in the norm directly affects the process of fertilization. At the very pregnancy such a symptom can be overlooked, because an increase in the level of TSH is the norm for gestation.

Autoimmune thyroiditis is very dangerous during pregnancy, as almost 100% of cases lead to placental insufficiency or miscarriage, and even in later terms. You can avoid such consequences if you start treatment on time.

The reasons that trigger the appearance of the disease:

  1. Heredity. If the next of kin had such a disease, then the woman falls into a risk group.
  2. Transfer of severe viral infections.
  3. Infectious diseases.
  4. Side effect of drugs.
  5. The general decrease in immunity.
  6. Unfavorable environment
  7. Aggressive lymphocytes in the bone marrow.
  8. Excessive irradiation with ultraviolet.
  9. An excess of iodine.
  10. Frequent stress.

Autoimmune thyroiditis in the first stages passes without any symptoms. Nevertheless, there are a number of indirect signs, by the totality of which it is possible to determine this dangerous disease:

  • fatigue;
  • drowsiness;
  • severe swelling of the extremities;
  • discomfort in the neck;
  • sensation of a "coma in the throat
  • an increase in the thyroid gland;
  • inhibited state and slow speech;
  • permanent freezing.

In the second phase, autoimmune thyroiditis is already characterized by destruction of the thyroid gland tissues. Characteristic symptoms are already pronounced:

  • arrhythmia and tachycardia;
  • increased pressure;
  • excessive sweating;
  • failures in memory and attention violation;
  • tremor of extremities;
  • constipation;
  • sharp mood changes.

If there are 2 - 3 symptoms, consult a specialist immediately. The disease is treatable. But its development harms the fetus. The shorter the gestation period, on which the autoimmune thyroiditis will be diagnosed, the less the risk of development of pathologies in the future baby.

Pathology development

Pregnancy is the process of a complete change in the mother's body. In the body of a woman, a baby develops, which only half converges with it according to the set of genes.

On the background of autoimmune thyroiditis in a pregnant woman, there is a risk of developing gestosis and eclampsia. For the fetus, this disease is dangerous such pathologies as violation of the thyroid gland and congenital hypothyroidism.

Serious complications may appear after pregnancy. The most dangerous of them:

  • Severe course of childbirth.
  • Premature birth.
  • The appearance of heart disease.
  • Miscarriage.
  • Congenital hypothyroidism in the child.
  • Stillbirth.

Treatment of thyroid disorders

Despite the critical consequences, thyroid diseases are easily treatable. But during pregnancy, the treatment process is complicated by the ban on taking certain hormonal medications and surgical intervention.

All the efforts of doctors during pregnancy are focused on stopping hypothyroidism, with the help of levothyroxine sodium. Additionally, iodine-containing drugs are prescribed.

It is important to diagnose the disease in advance, at the stage of preparation for pregnancy. Especially for women at risk. For treatment, thyroxine preparations with regular TSH level control are prescribed. Comprehensive intake of vitamins and biological supplements is necessary (Jodomarin, Potassium iodide).

For the prevention of the disease, taking iodine-containing drugs can be done on an ongoing basis. Especially women who live in the northern regions.