Hashimoto’s and Pregnancy: The Connection to Polycystic Ovarian Syndrome

Today’s video focuses on the connection between Hashimoto’s Thyroiditis and pregnancy. Specifically, we will address three aspects: can you get pregnant with Hashimoto’s, what happens during pregnancy with Hashimoto’s, and what happens after pregnancy if you have Hashimoto’s. It is widely accepted that Hashimoto’s can prevent you from getting pregnant, as it has a specific relationship with progesterone, the hormone responsible for holding and carrying the egg. Additionally, Hashimoto’s is closely related to polycystic ovarian syndrome, which can further contribute to infertility. During pregnancy, it is essential to prioritize your health by following the right diet, knowing your food sensitivities, and removing inflammatory foods. Taking prenatal vitamins is crucial, as is managing immune responses by dampening them while transferring antibodies to your child. After delivery, it is not uncommon for Hashimoto’s symptoms to resurface, so it is important to monitor your health and seek appropriate medical advice.

Hashimoto’s and Pregnancy

Hashimoto’s disease, an autoimmune condition that affects the thyroid, can have various impacts on pregnancy. In this article, we will explore the different aspects of Hashimoto’s and its relationship with pregnancy, including prevention, the effect on hormones like progesterone, connections to conditions like polycystic ovarian syndrome, impact on blood sugar levels, testosterone production, chances of getting pregnant, and its effects during pregnancy and on the child’s health. We will also discuss the importance of diet and prenatal vitamins for women with Hashimoto’s disease during pregnancy.

Prevention of Pregnancy

One significant effect of Hashimoto’s disease on pregnancy is its potential to prevent women from conceiving. The condition can affect the levels of various hormones in the body, including progesterone. Progesterone plays a crucial role in maintaining pregnancy by allowing the fertilized egg to implant into the uterine wall. If the levels of progesterone are low due to Hashimoto’s-related hypothyroidism, it can make it challenging for a woman to carry a pregnancy successfully.

Relationship with Progesterone

Hashimoto’s disease has a specific and significant relationship with progesterone. Progesterone is essential for holding the fertilized egg in place after ovulation and allowing it to implant in the uterus. If progesterone levels are low due to hypothyroidism caused by Hashimoto’s disease, it can lead to difficulties in carrying a pregnancy to term. Therefore, addressing and managing Hashimoto’s disease can help improve progesterone levels and increase the chances of a successful pregnancy.

Connection to Polycystic Ovarian Syndrome

Hashimoto’s disease is also closely related to polycystic ovarian syndrome (PCOS), a condition characterized by hormonal imbalances and insulin resistance. PCOS can affect blood sugar control, which can exacerbate the symptoms of Hashimoto’s disease. Conversely, Hashimoto’s disease can also impact blood sugar levels, leading to insulin resistance and increased testosterone production. PCOS and Hashimoto’s disease together can significantly reduce the chances of getting pregnant, accounting for a significant proportion of infertility cases in the country.

Effect on Blood Sugar

Hashimoto’s disease can impact blood sugar levels, primarily through its connection to PCOS. The condition can lead to insulin resistance, which is a precursor to type 2 diabetes. Insulin resistance is characterized by high blood sugar levels but does not meet the diagnostic criteria for diabetes. Managing blood sugar levels is essential for overall health and fertility, and women with Hashimoto’s disease should focus on a diet that helps regulate blood sugar and supports hormonal balance.

Impact on Testosterone Production

In addition to affecting hormones like progesterone, Hashimoto’s disease can also impact testosterone production. Testosterone is mainly produced in the ovary and plays a role in fertility. When Hashimoto’s disease is present, the adrenal glands, pancreas, and liver can be affected, leading to disruptions in testosterone production. Higher testosterone levels can further complicate fertility and contribute to the challenges faced by women with Hashimoto’s disease in conceiving.

Reduced Chances of Pregnancy

The combination of factors mentioned above, including hormonal imbalances, low progesterone levels, and insulin resistance, leads to reduced chances of pregnancy for women with Hashimoto’s disease. Studies have shown that PCOS, which is closely related to Hashimoto’s disease, accounts for a significant proportion of infertility cases. It is crucial for women with Hashimoto’s disease who are planning to have a child to address and manage their condition to increase their chances of successful conception.

During Pregnancy

When a woman with Hashimoto’s disease becomes pregnant, it is essential to prioritize her health to support a healthy pregnancy. Women with Hashimoto’s disease may experience improvements in their symptoms during pregnancy. Some women report feeling better, with symptoms like fibromyalgia disappearing. These improvements can be attributed to the immune shifts that occur during pregnancy, as the body shifts antibodies to the developing child.

Impact on Child’s Health

Hashimoto’s disease can have an impact on the child’s health, both during pregnancy and after delivery. While the immune shifts during pregnancy help prepare the child’s immune system, the presence of Hashimoto’s disease can influence the child’s susceptibility to autoimmune conditions. It is important for women with Hashimoto’s disease to discuss these considerations with their healthcare provider and ensure proper monitoring and care for both themselves and their child.

Immune Shifts

As mentioned earlier, immune shifts occur during pregnancy, as the mother’s body transfers antibodies to the developing child. These immune shifts play a vital role in the child’s ability to develop a robust immune response after birth. Women with Hashimoto’s disease should be mindful of dampening immune responses through a healthy diet, a focus on identifying and avoiding food sensitivities, and taking prenatal vitamins. These measures can help support the immune shifts necessary for the child’s immune development.

Diet and Prenatal Vitamins

Maintaining a healthy diet is crucial for women with Hashimoto’s disease during pregnancy. Identifying and avoiding food sensitivities, particularly inflammatory foods, can help reduce the autoimmune response and support overall health. Additionally, taking prenatal vitamins is essential to ensure proper nutrition for both the mother and the developing child. It is advisable to consult with a healthcare provider or a registered dietitian experienced in working with pregnant women with Hashimoto’s disease to develop an individualized dietary plan.

Hashimotos and Pregnancy: The Connection to Polycystic Ovarian Syndrome


Hashimoto’s disease can have significant implications for women during pregnancy. It can impact hormone levels, including progesterone and testosterone, affect blood sugar control, and reduce the chances of successful conception. It is important for women with Hashimoto’s disease who are planning to have a child to receive appropriate medical attention and manage their condition effectively. With proper care, including a healthy diet, prenatal vitamins, and regular monitoring, women with Hashimoto’s disease can increase their chances of a successful pregnancy and support the health of both themselves and their child.

Hashimotos and Pregnancy: The Connection to Polycystic Ovarian Syndrome

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