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Thyroid cancer

Question: I had thyroid cancer at 16 and this resulted in complete thyroidectomy and radioactive iodine treatments. I am and have been taking medication to replace the hormone since, but have been not very good at taking it regularly. In fact, only for the past couple months have I been good about it. Is this the most likely reason I have not been able to get pregnant? Are the effects of hypothyroidism permanent? I wrote to my specialist and he said not to worry. I can't stop though, because after all, I am not getting pregnant.

Comment: It is very important for fertility that you keep up on your thyroid medication. You should have periodic testing of thyroid stimulating hormone (TSH) which is an excellent marker of adequate replacement therapy. It should be kept in the mid-normal range. Too low, or too high, and ovulation may become irregular. Too much thyroid replacement can be more harmful than too little. Many people with low thyroid hormone levels do not feel well.

 

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