Fertility Disorders, Thyroid Dysfunction
Conditions
Brief summary
The influence of thyroid autoantibodies on thyroid function in pregnancy after fertility treatment is not well known. The objectives of the present study are: 1. To monitor the course of thyroid function during pregnancy and to compare between women with and without thyroid autoantibodies. 2. Compare pregnancy outcome between women with and without thyroid antibodies
Detailed description
Thyroid autoantibodies and / or abnormal thyroid function are associated with fertility problems. A possible explanation for this is, an influence of thyroid autoantibodies on the functioning of the thyroid gland. It is therefore recommended to check thyroid gland function and for the presence of autoantibodies before pregnancy. In general, 2 types of thyroid autoantibodies are known: anti-thyreoperoxidase autoantibodies and anti-thyroglobulin autoantibodies. In case of abnormal thyroid function, treatment is sometimes necessary in regards to fertility. The risk of abnormal thyroid function is increased in women with thyroid autoantibodies during pregnancy. Therefore, thyroid function is regularly monitored during pregnancy in women with thyroid antibodies. The influence of thyroid autoantibodies on thyroid function in pregnancy after fertility treatment is not well known. The objectives of the present study are: 1. To monitor the course of thyroid function during pregnancy and to compare between women with and without thyroid autoantibodies. 2. Compare pregnancy outcome between women with and without thyroid antibodies
Interventions
blood test for thyroid antibodies and thyroid function (TSH, FT4)
questionnaire for treatment outcome: pregnancy, no pregnancy, miscarriage, delivery
Sponsors
Study design
Eligibility
Inclusion criteria
* first cycle of assisted reproductive technology with follow up of thyroid function at the Universitair Ziekenhuis Brussel * age \>= 18 and \<= 36 years * body mass index between 18 and 35
Exclusion criteria
* Patients with clinical thyroid dysfunction * Patients being treated with levothyroxine or antithyroid drugs * Patients being treated with glucocorticosteroids * Patients undergoing in vitro maturation or preimplantation genetic testing. * Poor responders during IVF/ICSI stimulation, using the Bologna criteria
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| thyroid fonction | 12 months | TSH, FT4 evolution during pregnancy |
| cumulative delivery rate | 12 months | live birth delivery after IVF stimulation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| cumulative pregnancy rate | 12 months | pregnancy rate after IVF stimulation |
| miscarriage rate | 12 months | miscarriage rate after IVF stimulation |
Countries
Belgium