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Hyperthyroid in Pregnancy

Like many other conditions, hyperthyroidism should be monitored during pregnancy. An overactive thyroid that is uncontrolled during pregnancy increases the risk of:
Fortunately, through frequent monitoring and adjusting medicines as needed throughout the pregnancy, the risk to both the mother and fetus can be minimized. Propylthiouracil is the first choice of treatment for pregnant women (beta blockers may also help with symptoms).
Surgery may be recommended for pregnant women who cannot tolerate antithyroid medicines. Another treatment option known as radioiodine therapy is not used in pregnant women or women who are breastfeeding, as it can be harmful to the thyroid of the fetus.
(Click Hyperthyroidism and Pregnancy for more information on treating hyperthyroid symptoms in pregnant women. This article also explains why new cases of overactive thyroid are sometimes missed in women who are expecting.)
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