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Iswarya Fertility Centre & Women's Hospital
Iswarya
Fertility Centre
Female Infertility

Hypothyroidism & Fertility

Underactive thyroid (hypothyroidism) disrupts menstrual cycles and implantation, but is easily treated to restore fertility.

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Overview

How Hypothyroidism Affects Fertility

The thyroid gland produces hormones that regulate metabolism and reproductive function. Hypothyroidism — an underactive thyroid — elevates TSH and can disrupt ovulation, cause irregular periods, increase the risk of miscarriage, and interfere with implantation. Even subclinical hypothyroidism (mildly elevated TSH) can impair IVF outcomes.

Simple Treatment, Big Impact

At Iswarya Fertility, all patients are screened for thyroid disorders at their first visit. Levothyroxine therapy to normalise TSH below 2.5 mIU/L before IVF is a straightforward intervention that significantly improves pregnancy rates.

Symptoms

Irregular or heavy menstrual periods
Difficulty conceiving
Fatigue and low energy
Weight gain despite normal diet
Feeling cold, dry skin, hair loss
Recurrent miscarriage

Causes

1
Hashimoto's autoimmune thyroiditis (most common cause)
2
Iodine deficiency
3
Prior thyroid surgery or radioactive iodine treatment
4
Certain medications affecting thyroid function

How It's Diagnosed

Serum TSH (thyroid stimulating hormone) blood test
Free T4 (FT4) and Free T3 (FT3) levels
Anti-TPO and anti-thyroglobulin antibodies for autoimmune cause

Take the First Step

Get a personalised treatment plan for Hypothyroidism & Fertility from our fertility specialists

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Hypothyroidism & Fertility — Causes, Symptoms & IVF Treatment | Iswarya Fertility | Iswarya Fertility