Hypothyroid and Miscarriage link

The thyroid gland is often under a flurry of controversy, especially in the world of fertility.

Here are two studies to support the treatment of subclinical hypothyroid – when TSH is within normal range but greater than 2.5 mU/L – to aid in the prevention of miscarriage.

Maternal subclinical hypothyroidism, thyroid autoimmunity, and the risk of miscarriage: a prospective cohort study

– this study found that women with subclinical hypothyroid and/or autoimmune thyroid conditions were at a greater risk of early miscarriage

TSH levels and risk of miscarriage in women on long-term levothyroxine: a community-based study

– Conclusion: “The majority of levothyroxine-treated women have early gestational TSH levels above the recommended targets (>2.5 mU/L) with a strong risk of miscarriage at levels exceeding 4.5 mU/L. There is an urgent need to improve the adequacy of thyroid hormone replacement in early pregnancy”

If you are in the pre-conception stage of things, natural methods may be successful at treating sub-clinical hypothyroid. If you are already trying to conceive and your TSH is high normal, then it may be wise to consult with your MD about thyroxine.

Does this create more questions for you? Why not book yourself a Free Fertility Assessment with one of our Naturopathic Doctors? Whether it’s a stand alone visit for you or you decide to continue to work with us, we know that you will leave with good information to help you move forward.

Yours in health,

Dr. Kerri Fullerton ND & Dr. Whitney Young ND

 

 

Hypothyroid affects fertility

Our fertility patients often arrive at our office already knowing that there is a link to hypothyroid and infertility. The frustration usually comes from having some thyroid tests done, typically TSH and maybe T4, and it coming back within normal range and then doctors investigating any further and don’t consider treatment necessary.

Here is a study published in Endocrinology that explains why more testing is warranted, and maybe even treatment. This study found:

  • Infertile women with subclinical hypothyroidism treated with T4 Thyroxine had a shorter duration of infertility
  • 84.1% of they thyroxine group became pregnant while the untreated group remained infertile
  • 42% of all patients had anti-thyroid antibodies identified
  • TSH values ranged from 3.1 – 13.3 before treatment and were reduced to 0.02-3.75 after treatment (median values of 5.46 pre treatment and 1.25 post treatment)

In another study investigating subclinical hypothyroidism, thyroid autoimmunity and miscarriage rates, subclinical hypothyroidism was defined as a TSH higher than 2.5.

What does this mean for you?

Ask for further investigation with regards to your thyroid antibodies if you are struggling to become pregnant. If you TSH values are at the high end of normal, ask your doctor to try a course of thyroxine with you.

An Ontario ND can do further blood work for you if you cannot get it done through your regular doctor but cannot prescribe thyroxine.

Print off the study and ask your doctor to take a look at it for you.

Want to learn more about how we can help you? Book a free fertility assessment today.

Yours in Health,

Dr. Kerri Fullerton ND & Dr. Whitney Young ND

Cosmetic Surgery for Your Eggs

Hi there,

Make your eggs new again! The latest, greatest research can turn back the time on your eggs.

Well, kind of. Older women who are struggling with getting pregnant often have issues with the quality of their eggs. Their eggs are as old as they are. I have older women ask me, should I bother to keep trying? Well, here’s another option that will keep them in the game a bit longer.

IVF

If they are doing IVF – invitro fertilization – they may have embryos that just don’t make it. The cells may not have the energy they need to do all the rapid divisions needed to make a baby.

In recent clinical trials, Fertility Clinics, including a progressive one in Toronto called TCART, are experimenting to sort of make the old eggs new again.

The mitochondria of the cells are the “powerhouse” of an egg to give it the energy it needs to function optimally. Researchers have found that the ovaries possess cells like stem cells where they can take newer mitochondria and then inject them into the older egg. Egg with young mitochondria meets sperm.

This new technology has some good anecdotal success and we are waiting for official results.

In the meantime, taking some supplements like CoQ10 and eating foods with CoQ10 can improve your mitochondrial function.

Talk soon,

Whitney

Source: Globe & Mail Fertility Treatments

Fertility Plans of Brides

Hi there,

Kerri and I attended the Timpano Bridal Show at Casino Rama this past Saturday. Lots of brides and moms were surprised to see us there – some laughed, some seemed outright disgruntled that we were there! The mere suggestion that their lovely daughters would be procreating seemed a little too much for moms.

Actually, when I think about it, my mom probably would have had the same reaction.

We polled the brides to ask them about their baby-making plans:

Bridal show stats

 

4% of brides want to make a Honeymoon baby!

4% wanted to start within 3 months and a further 4% wanted to start trying 3-6 months after.

18% were planning on starting 6-12 months after the BIG DAY

38% already had kids or had already started trying

32% of brides were waiting until sometime after they got married to start their family….

If about a 1/3 of brides wait until after they get married and the average age of a bride is 29 then that is when fertility has already started to decline.

 

Download our Maybe Baby Checklist to see if baby-making might be a problem for you.

If you check off a few of these issues we can help! A preconception plan is a great idea to prepare your body and your hormones to make a baby.

Take good care,

Whitney

Benefits of Fish Oil in Pregnancy

Fish oil in pregnancyOne of my patients recently asked me about fish oil for pregnancy. She had heard that it’s good for the babies brain but she wasn’t sure what else it was good for or what kind to take.

Research has shown there are a few wonderful things about fish oil for your baby:

  • reduces the rate of pre-term births
  • increases cognitive functioning
  • reduces the prevalence of allergies later in life
  • helps to prevent eczema (atopic dermatitis, asthma and allergic rhinitis

So when should you start supplementing? As soon as possible or at least during the 2nd and 3rd trimesters as this is the critical time for brain development.

Choose a fish oil that:

  • has at least 0.3g of DHA in it, high potency is better
  • tested for heavy metals and PCBs

We have a great one at the office that is a high potency and clean source of fish oil. I recommend this to all my pregnant moms along with some other essential nutrients.

I would love to hear how your supplementing during pregnancy is going!

Talk soon,

Whitney

Oncology Workers and Fertility Risks

Do you know a health care worker or support staff working with cancer patients? Their exposures could be affecting their fertility. Click here for a recent post on our sister site www.barriefertility.ca