HomeAnswersObstetrics and GynecologyhypothyroidismIs it possible to conceive with hypothyroid and obesity?

I am hypothyroid and weighs about 220 lbs. Can I get pregnant?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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iCliniq medical review team

Published At December 13, 2019
Reviewed AtAugust 24, 2023

Patient's Query

Hello doctor,

I am 36 years old and weigh about 220 lbs with no medical conditions except for hypothyroid. Can I get pregnant?

Hello,

Welcome to icliniq.com.

You surely can become pregnant. Keep a watch on your weight and keep thyroid under control by maintaining TSH (thyroid-stimulating hormone) levels around 3.5. Obesity usually is associated with insulin resistance and may be PCOS (polycystic ovary syndrome) in your pelvic scan. First, take a fair trial especially on your ovulatory days (pregnancy days), and work on the above factors. You will have to continue antithyroid drugs during pregnancy also.

Patient's Query

Thank you doctor,

I have another question that I need to ask. My husband has psoriasis and hepatitis B. Will it cause any effect on the offspring? Please let me know what else I need to take care of as I am really anxious at this point of time. I do not have any other medical conditions. Which medicine do you suggest for thyroid?

Hello,

Welcome back to icliniq.com.

This is a serious issue and of concern that your husband is hepatitis B positive. The most common route of spread for hepatitis B is sexual contact. Are you vaccinated against it? If yes, get your titers done and get a booster dose if required. See whether you are fully protected or not? Tell your husband also to consult a gastroenterologist and take proper treatment. Regarding transmission to the offspring, there are high chances of transmitting if the mother is positive. But treatment is available (immunoprophylaxis). Psoriasis can also show up in the baby but not necessarily. Both of you prepare yourself by the time you conceive. Medication for thyroid is tablet Thyroxine (Thyroxine sodium). The dose will depend upon your TSH levels.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Kamalpreet Kaur Nagpal
Dr. Kamalpreet Kaur Nagpal

Obstetrics and Gynecology

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