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Thyroid Autoimmunity and Miscarriage
Made to Miscarry
By Teri Brown
Dr. Ken Gelman, a reproductive endocrinologist and an assistant clinical professor at the University of Miami School of Medicine, says that thyroid autoimmunity is fairly common. "Approximately 15 percent of women may have antibodies directed against their thyroid," he says.
Just because you have thyroid antibodies doesn't mean you will show evidence of thyroid diseases. Hypothyroidism is a thyroid disease where the body produces too little of the thyroid hormone. With hyperthyroidism, the body produces too much of the hormone. Both can be controlled with medication, but it is still unknown as to whether or not medication impacts women having multiple miscarriages due to thyroid autoimmunity.
"A woman should be concerned with thyroid autoimmunity as a potential cause of an underlying immune causation of her miscarriage only if other causes of miscarriage have been thoroughly ruled out," he says. "These include poor egg quality, male factor, genetic factors or uterine factors."
What does this mean for women who may be undergoing artificial reproductive therapy (ART)? Most important, it gives reproductive endocrinologists one more tool to find out why a woman is having difficulty carrying a baby to term.
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