The removal of the thyroid gland is preceded by a serious pathology - the doctors go to the extreme measure only if the drug treatment does not have the desired effect, or there is a risk of developing malignant complications that threaten the patient's life. Surgical solution of the problem radically changes the habitual life and life of a woman, since from that moment she must follow a strict diet, take hormone replacement and other prescribed medications, while adhering to the correct regime of the day.
Can I become pregnant after surgery?
Pregnancy after removal of the thyroid gland is possible - the operation does not affect a woman's ability to conceive, endure and give birth to a healthy baby. However, before this, you need to undergo a checkup from a gynecologist and an endocrinologist. If the results of the studies are normal, the patient is allowed to become pregnant. In this case, you should immediately register with both specialists, do not skip visits and follow all recommendations.
Pregnancy is accompanied by a mandatory intake of hormonal drugs. Thanks to synthetic hormones, which in the absence of a gland the body is not able to produce on its own, the woman continues to have a full life. But with successful conception, the dosage is increased, taking into account the individual characteristics and results of the analyzes performed.
Refusal to treat with hormonal drugs or skipping their reception, as well as abuse, can lead to serious complications during pregnancy, newborn pathologies and other problems.
How important is the role of thyroid?
Why is this gland considered to be much needed for the body? And because it produces two vital hormones, thyroxine and triiodothyramine, participating in metabolic processes. They promote the synthesis of protein, as well as the cleavage of glucose by cells. Thanks to these processes, all other organs function normally. The failure in the production of gland hormones instantly becomes noticeable.
For this reason, women are advised to think about pregnancy only after a thorough examination - the absence of thyroid gland has a significant effect on pregnancy, and without compliance with recommendations, its onset and normal development is impossible.
Pregnancy planning after removal of
Excision of thyroid gland means a recovery period, regardless of a woman's desire to have children. Its duration averages from 2-3 months to six months. Pregnant women are allowed a year after the operation - competent planning and compliance with medical recommendations ensures a normal pregnancy and the birth of a healthy child.
If a woman becomes pregnant unintentionally, this does not mean that everything is bad. The gynecologist should report partially or completely removed gland. Particular attention is paid to the level of thyroid-stimulating hormone - its value should not be higher than 2.5 μIU / ml. For any deviation, the dose of the hormone replacement drug is adjusted. Non-compliance with recommendations can lead to infertility, due to the development of hypothyroidism.
Pregnancy without thyroid
After removal of the gland, the endocrinologist prescribes a drug therapy that replenishes the lack of hormones in the body. Pregnancy without a thyroid gland differs from usual, to it promotes a number of factors:
- endocrine organ is responsible for many important processes in the body - the menstrual cycle, the maturation of the egg, as well as the peculiarities of its fertilization and the further course of the pregnancy that has occurred. Accordingly, conception without participation of a gland is impossible, therefore hormonal therapy is necessary;
- hypocalcemia - removal of the body leads to a lack of calcium in the body. This is a vital element for all people, not just pregnant women. Therefore, an additional calcium intake is prescribed in vitamin complexes or separately, and a diet is developed, in which calcium-containing products are necessarily involved;
- toxic effect on the body - if the decision to remove the thyroid gland was taken because of the development of a malignant tumor, the patient was simultaneously administered high doses of radioactive iodine. Such measures have a serious impact on women's health and reproductive functions. For this reason, additional treatment is prescribed to suppress the effect.
- Doctors agree on whether it is possible to get pregnant after removing the gland - a normal pregnancy is possible, as evidenced by many real examples. However, one should be very careful about health, follow a diet and take drugs on time. Also, every 3 weeks or more( according to the indications), an analysis is made for the level of hormones.
Influence of the hormonal background on the formation of the fetus
The hormones produced by the thyroid gland contribute to the normal development of the future baby. They exert a significant influence and complete formation of the following systems:
- heart, blood vessels and circulatory system;
- is a reproductive;
- endocrine;
- nervous.
Obviously, with the removed gland, taking medications is mandatory. The need to increase the dosage increases by 40-50%, since most of the hormones "work" for a small life that develops inside a woman.
From the 16th to 17th week of pregnancy, the fetus begins to form its own thyroid gland, so it no longer needs the hormones of the mother. However, there is a growing need for iodine supply - given this feature, from the middle of pregnancy, doses of hormones used by the future mother are reduced, but vitamin complexes that contain iodine are corrected. No less important is a special diet, compliance is mandatory.
After the birth, a long-term observation of the newborn is carried out - anomalies that occur against the background of failures in the body due to the absence of thyroid gland may not appear immediately. As the statistics show, if the mother complies with all the recommendations, absolutely healthy children are born, in the state of health of which there are no significant violations, serious pathologies and other complications.
Taking medication and pregnancy
Every woman knows that you can not take complicated medications on the background of pregnancy, as they can affect the attachment of the fetus and cause a miscarriage. How in this case to take hormonal means and to bear the baby? Indeed, the concentration of drugs can be fatal for a child's future, so you should plan your pregnancy. In this case, the doctor can adjust the intake of drugs, lowering the dose of aggressive drugs and adding funds for trouble-free gestation of the fetus.
Knowingly allocate a certain time for the patient's recovery, it is not unreasonable to take tests before conception - if a woman wants to calmly endure and give birth to a healthy crumb, one should be patient, pass all the examinations and carefully follow the recommendations and requirements of the doctor who watches her.
A strict diet can also have a significant effect on the fetus - after surgery, the patient is forbidden to eat fried, fatty, canned and alcoholic. Non-compliance with these recommendations leads to complications in the patient's hormonal background, which requires an increase in the dose of hormones. Accordingly, parallel conception can result in miscarriage. The diet meets the norms of healthy eating, so it is prescribed for all women, not only deprived of the endocrine organ.
Births and consequences
There is an opinion that women with a remote thyroid can not give birth on their own. In fact, according to the indications, it is often recommended that a caesarean section be performed, although 30% of pregnancies are terminated by natural births. Cesarean is prescribed, rather, due to other features - excess weight of the mother, a large fetus, mispronunciation, accusation and other pathologies that can develop and the background of normal pregnancy.
Both surgery and traditional births have a significant impact on the health of a woman living without a thyroid. Because of this, doctors can prescribe an additional intake of drugs, continuing to monitor the level of hormones in the body.
The weight after the use of hormonal drugs in the parturient should not change - modern medicines do not affect the mass. Proper nutrition and a lactating mother's diet will help to quickly return to normal form, even if during pregnancy the woman gained excess weight.
Conclusion
Thyroid removal is not a verdict - lack of an organ and maternity, compatible concepts. It is important for prospective parents to consult a doctor at least three months before the alleged conception, to find out the status of the endocrine system, both men and women. Patients with a distant organ or its pathologies should carefully follow the recommendations of doctors.
