Hashimoto’s thyroiditis and fertility

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Hashimoto’s thyroiditis is a common variety of  chronic autoimmune thyroiditis. This is an auto-immune disease of the thyroidea in which the  body produces auto-antibodies directed against healthy thyroid cells, destroying them. As a consequence of this, thyroid hormone production decreases substantially (thyroid hypofunction or hypothyroidism). The rarer Graves' disease is associated with the production of antibodies directed against a signaling molecule on the thyroid cells’ surface. This causes the thyroid cells to produce an excessive amount of thyroid hormones (thyroid hyperfunction or hyperthyroidism). In the long run, however, many patients experience thyroid hypofunction as well. 

 

Impairment of Fertility

This malfunction of hormone production can impair fertility substantially: patients experience problems conceiving and the risk of miscarriage is increased as well. 

Fortunately, fertility treatment can help to achieve a healthy pregnancy. 

 

The Patient Can Support the Treatment

The patient herself can improve success rates of fertility treatment by making healthy lifestyle choices and maintaining a healthy diet that takes into account some specifics of the disease. 

 

A Diet Low in Iodine 

According to scientific studies excessive iodine exposure worsens the progress of the disease. A diet low in iodine on the other hand has been reported to result in an improvement. Hence patients with autoimmune thyroiditis are recommended to abandon iodized table salt. Any dietary supplements should be free of iodine as well 

 

Selenium

Soils in Europe are poor in selenium. Consequently plants grown in this soil and thus food produced there have a low selenium content. Studies have shown that supplementing selenium in patients with autoimmune thyroiditis can improve symptoms. 

 

Oxidative Stress and Anti-Oxidants

Even though the reasons for the onset of the disease are not quite understood, recent research has revealed oxidative stress to be an important contributing factor. It can also compromises oocyte quality and is detrimental to embryonic development. Hence, experts recommend to make sure that there is an adequate supply of anti-oxidants. Stress, smoking and poor eating habits present situations during which supplementing antioxidants is advisable and can have a positive impact on the symptoms of autoimmune thyroiditis.

 

 

B-Vitamins

Patients with autoimmune thyroiditis also have an increased risk of having a vitamin B12 deficiency. Particularly when planning for conception this can be a problem, because vitamin B12 is not only important for cell division, but – together with other B-vitamins - is also vitally needed for homocysteine metabolism. Therefore experts recommend that thyroiditis patients supplement B-vitamins. 

 

 

Based on these findings fertility experts have developed Fertilovit®FTHY, a dietetic food for special medical purposes which is tailored to meet the needs of women with autoimmune thyroiditis planning for pregnancy. 

 

 

It contains a combination of micronutrients that help to improve the symptoms of autoimmune thyroiditis and  prepare the female body for conception and early pregnancy. Thus it can improve fertility and provide excellent conditions for the healthy development of the new baby. 

 

 

  • Preconceptional supplement for women with thyroiditis 
  • Once daily
  • Without iodine
  • Important antioxidants, partly with sustained release 
  • Folic acid
  • B-Vitamins
  • Selenium