The hyperthyroidism of [son preference] does not know [compassion] at all, and always likes [bullying] women, especially women of childbearing age.
I believe every female friend hopes to have a happy family and a healthy child. However, for those suffering from hyperthyroidism, they often face difficult and painful choices and the difficult problems of pregnancy and childbirth. They are eager for pregnancy, but they are afraid of affecting the health of themselves and their future generations. Melancholy and anxiety often haunt them.
At present, more and more hyperthyroidism patients choose isotope iodine 131 therapy (also known as radioactive iodine therapy). Can isotope therapy be selected for hyperthyroidism women who want to become pregnant and have children? After isotope therapy, does how choose the best time to conceive? Will isotope therapy bring harm to oneself and future generations?
After isotope treatment, every woman who wants to be a mother should do some what so that mother and child can be safe and add a lively and lovely little angel to her small family.
Who disturbed her pregnancy dream?
Xiao Min has always wanted to have a child of her own, but soon after marriage she found out that she suffered from hyperthyroidism, so she began to take anti-hyperthyroidism drugs. However, hyperthyroidism is always repeated and the control is not ideal.
Because hyperthyroidism is not well controlled, I am always worried that it will affect my health and that of my baby, so I have been afraid to get pregnant and have children.
Later, I heard that isotope therapy can cure hyperthyroidism at one time. I felt that I saw the dawn, but after isotope therapy, Xiaomin’s T3 and T4 were still high. The doctor suggested not to take medicine for the time being, but to observe.
Hyperthyroidism has not been completely cured, Xiaomin’s heart has been unable to let go, also dare not expect the right to be a mother, so she has been waiting. Two years later, T3, T4 finally reached the normal level. Xiaomin was relieved and could finally enjoy the right to be a mother.
A few months later, Xiaomin became pregnant, but the prenatal examination found that her thyroid function was reduced again. This time, she was afraid of adverse effects on the child, so she had to give up her love reluctantly and miscarried.
Xiao Min’s dream of pregnancy was once again shattered.
Is it so difficult for Xiaomin, who suffers from hyperthyroidism, to have a child? Can’t Xiaomin have her own children? Is it because of what that the dream of pregnancy has been shattered again and again?
Isotope Iodine 131 Therapy Creates Myth of
At present, the three sharp tools for the treatment of hyperthyroidism are oral drugs, surgery and isotope iodine 131 treatment. Due to the long course of treatment of hyperthyroidism with drugs (the shortest is 18 months), the disease condition is easy to repeat and the recurrence rate is high. Surgical treatment of hyperthyroidism has high risks and many complications, so more and more hyperthyroidism patients choose radioactive iodine therapy.
1. Benefits of iodine 131 therapy
Iodine 131 has been used to treat hyperthyroidism for more than 60 years.
Iodine consumed by hyperthyroidism patients is absorbed into blood through intestinal tract, and the blood transports it into thyroid gland. Iodine, like a scalpel, can [remove] hyperthyroidism thyroid tissue and cure hyperthyroidism.
Therefore, people vividly compare iodine treatment of hyperthyroidism to [surgery without operation and bleeding].
At present, there are millions of hyperthyroidism patients treated with iodine all over the world. A large number of examples prove that iodine 131 is not only safe and effective in treating hyperthyroidism, but also more than 90% of patients can be cured within 3-6 months. Moreover, this method is simple and convenient. The vast majority of patients can cure hyperthyroidism only by taking medicine (liquid medicine or capsule) once. In addition, the treatment cost is relatively saved.
Therefore, it is favored by doctors and patients.
2. Fear of the word [radioactivity]
Iodine 131 uses radioactive iodine for treatment. When it comes to radioactivity, people often turn pale at the mention of radioactivity.
In fact, when radioactive iodine is used to treat hyperthyroidism, The dose of radioactive iodine required by most patients is very small, most iodine accumulates in thyroid gland, and iodine only has killing effect on surrounding 2mm tissues. Therefore, the dose of irradiation to the whole body and other organs, including gonads, is very small, which is equivalent to the dose of X-ray irradiation during barium enema or hysterosalpingography.
Therefore, iodine 131 therapy will not reduce the fertility of patients and has no carcinogenicity. Iodine therapy before pregnancy has no adverse effects on future generations, and radioactive iodine therapy can be safely selected.
For Xiaomin oral drug hyperthyroidism has been unable to control, later choose isotope therapy, this is entirely possible.
3. Two Precautions for Treatment
It should be noted here that if you receive isotope therapy, you will not be pregnant until at least half a year later. Therefore, if you are in a hurry to have children, do not choose isotope therapy.
In addition, the thyroid gland of the fetus at 12-14 weeks old has iodine gathering function, so pregnant expectant mothers must prohibit radioactive iodine metallurgy.
Isotope therapy has also failed.
No matter how good a general can be, there is no guarantee that he will win every battle. No matter how good a hunter is, there is no guarantee that he can always catch prey. The same is true of isotope therapy, and there are times when he fails.
Then we can know whether isotope therapy is a success or a failure in what.
As the saying goes, impatient can’t eat hot tofu, isotope treatment of hyperthyroidism also needs a certain period of time. Generally speaking, isotope treatment takes about 6 months before doctors evaluate its curative effect.
1. Everyone is happy
Thyroid function can return to normal level and hyperthyroidism can be cured. As a result, women who are preparing to conceive and have children can also begin to make preparations to welcome the arrival of new life.
Step 2 Continue treatment
Some patients may not be so smooth, and there will be some minor problems. After 6 months of reexamination, thyroid function will not return to normal.
Just like Xiaomin mentioned earlier, T3 and T4 are still high, which is a big blow to Xiaomin who wants to be a mother. After waiting for half a year, the result was obtained.
If such a result occurs, don’t lose heart. There will always be a solution to the problem. No one has the right to deprive hyperthyroidism women of their right to be mothers.
Generally speaking, mild hyperthyroidism has no obvious effect on pregnancy. For example, under the condition that T3 and T4 in thyroid examination are only slightly increased and there are no obvious symptoms (doctors usually use free T4 level and FT4 is also written on the test form, which is not more than 1.4 times of the normal upper limit), pregnancy does not have to wait until T3 and T4 completely return to normal.
At this time, as long as under the guidance of experienced doctors, regular reexamination, also can be pregnant and have children. Therefore, Xiao Min at this time does not have to wait until T3 and T4 are completely normal before having children.
If T3 is checked, T4 is still very high, I still have symptoms of hyperthyroidism, Such as fear of heat, hyperhidrosis, palpitation, At this point, further treatment is necessary, I can’t get pregnant yet. If you don’t want to wait another six months, Can choose oral anti-hyperthyroidism drug propylthiouracil, generally 2 ~ 4 weeks or so can recover stable, can consider pregnancy. If you want to completely cure hyperthyroidism, there is no plan to have children within half a year, then you can consider the second isotope therapy, and when the thyroid function basically returns to normal after half a year, you will conceive your baby again.
Disadvantages of iodine 131 therapy
Isotopes are safe and effective and can cure most hyperthyroidism patients, but they also have their disadvantages.
Isotope therapy has the biggest adverse reaction, that is hypothyroidism. To some extent, hypothyroidism after isotope therapy for hyperthyroidism is inevitable. The incidence rate is about 5% in the first year, and then increases by 1% ~ 2% every year.
Hypothyroidism often leads to infertility. Many infertile young couples are unable to conceive for a long time because of hypothyroidism, but fortunately the infertility caused by hypothyroidism is not permanent, only temporary, cured hypothyroidism, and can have their own babies as well.
Hypothyroidism can also affect fetal development to some extent, However, this does not mean that mothers with hypothyroidism will definitely give birth to an unhealthy child. If thyroid function is found to be hypothyroidism after pregnancy, At this time, it is really a difficult choice. No doctor dares to ensure that a healthy mother will definitely give birth to a healthy child, because about 1% of healthy mothers will give birth to deformed children, so doctors can only weigh the pros and cons for you, and finally the child’s future still depends on your own decision.
The aforementioned Xiaomin chose to give up and gave birth to a new life after hypothyroidism was cured.
For the sake of children, regular examination is very important.
Seeing this, many readers may think that if they want to have children, they cannot choose isotope therapy. In fact, this conclusion is completely wrong.
A 3A hospital in Shanghai once followed 86 women of childbearing age. After isotope treatment for hyperthyroidism, they all had their own lovely babies without any deformity or mental retardation.
Therefore, young women who have not given birth need not worry and can safely choose isotope therapy.
The crux of the problem here is that after we take radioactive iodine potions or capsules, we must not think that this is a one-shot deal and we will never turn a blind eye to it again. You must remember that isotope therapy has one of the biggest side effects, that is hypothyroidism.
Hypothyroidism develops gradually and slowly, so we must be active and pre-emptive. We must take active measures to contain hypothyroidism in its infancy when there are signs of hypothyroidism, so that there will be no situation like Xiaomin’s.
After isotope therapy, Regular monitoring of thyroid function is the key to proactive, Early detection of hypothyroidism tendency, And active treatment can reduce a lot of unnecessary pain and regret. Generally, the first 2 months after treatment can be reviewed as much as possible half a month (generally not more than 1 month), 3 to 6 months after treatment as much as possible monthly review, 6 months after every 2 months review, 1 year after every 3 to 6 months review. The main monitoring items are T3, T4, FT3 (free T3), FT4 (free T4) and TSH (thyroid stimulating hormone).
For female friends who are preparing for pregnancy, the interval between examinations should be appropriately shortened according to the actual situation (e.g. Once a month) so as to find signs of hypothyroidism in time, thus avoiding the occurrence of situations like Xiaomin’s.
Therefore, in order to give birth to a healthy baby, female friends after hyperthyroidism isotope treatment please don’t be too troublesome and check themselves more. You can also have children like other mothers and add a lively and lovely little angel to your small family.