Can I have children if I have hypothyroidism?

Jul 09, 2025 Source: Cainiu Health

Dr. Yang Chuanjia

Introduction

Hypothyroid patients who receive standardized treatment and maintain thyroid hormone levels within the normal range, with restored metabolic stability, have minimal risks to both mother and fetus when becoming pregnant. Standardized treatment reduces the likelihood of pregnancy complications and ensures normal fetal nervous system development. If hypothyroidism remains untreated, or if hormone levels remain abnormal after treatment,

　　Hypothyroidism refers to underactive thyroid function. Under normal circumstances, individuals with hypothyroidism can conceive after treatment has restored normal thyroid function. However, if the condition remains untreated or uncontrolled, pregnancy is not recommended. If abnormalities are detected, prompt medical consultation is advised. Detailed explanation is as follows:

　　Patients with hypothyroidism who receive standardized treatment and maintain normal thyroid hormone levels, with stabilized metabolic function, face minimal risks to either the mother or the fetus when becoming pregnant. Standardized treatment reduces the likelihood of pregnancy complications and ensures normal neurological development of the fetus.

　　If hypothyroidism remains untreated or thyroid hormone levels remain abnormal after treatment, the body remains in a state of metabolic imbalance. Pregnancy under such circumstances may increase the risks of miscarriage and preterm birth and may also impair fetal growth and development, potentially affecting the intellectual development of the fetus. This condition places additional strain on the mother's body, potentially leading to further health complications.

　　Individuals with hypothyroidism who are planning to conceive should undergo thyroid function testing in advance and adjust hormone levels to within the normal range under medical supervision before attempting pregnancy.

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