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Graves' disease in pregnancy guidelines

Most of the hyperthyroidism seen in association with pregnancy is Graves' disease. The best treatment is prevention. For most patients there is an opportunity to treat the hyperthyroidism decisively with radioiodine or surgery before the patient becomes pregnant SIZE CHANGES. The thyroid gland can increase in size during pregnancy (enlarged thyroid = goiter). However, pregnancy-associated goiters occur much more frequently in iodine-deficient areas of the world. It is relatively uncommon in the United States A woman with Graves' disease faces difficult choices when she considers pregnancy. Though the fetus is at far more risk than the mother, both may be temporarily or permanently affected by her condition and its treatments. Unfortunately, there is no way to monitor or predict the effect on the fetus of any treatment given to the mother Graves' disease, a common autoimmune condition that causes the thyroid to overproduce thyroid hormone and thereby speed up the body's metabolism (called hyperthyroidism), can have a negative impact on both fertility and pregnancy. As such, it is especially important for women who are pursuing pregnancy to receive a prompt diagnosis and. New paradigms since publication of the 2011 guidelines are presented for the evaluation of the etiology of thyrotoxicosis, the management of Graves' hyperthyroidism with antithyroid drugs, the management of pregnant hyperthyroid patients, and the preparation of patients for thyroid surgery

Graves' disease is responsible for 95 percent of hyperthyroidism cases in pregnancy. Distinctive ophthalmic signs include eyelid lag or retraction; dermal signs include localized and pretibial.. Neonates of women with definitively treated Graves' disease (status post thyroidectomy or treatment with I 131 before pregnancy) have a higher risk of neonatal Graves disease compared with women with Graves disease currently on thioamide treatment during pregnancy Background: Thyroid disease in pregnancy is a common clinical problem. Since the guidelines for the management of these disorders by the American Thyroid Association (ATA) were first published in 2011, significant clinical and scientific advances have occurred in the field

Diagnosis and management of Graves' disease in pregnanc

  1. pregnancy. Graves' hyperthyroidism is treated by decreas-ing thyroid hormone synthesis with the use of ATD, or by reducing the amount of thyroid tissue with radioactive io-dine (RAI) treatment or total thyroidectomy. Patients with newly diagnosed Graves' hyperthyroidism are usually medi-cally treated for 12-18 months with methimazole (MMI) a
  2. Graves disease is typically characterized by an initial exacerbation of symptoms in the first trimester, and is thought to be caused by the initial stimulatory effect of human chorionic..
  3. · Treatment of Graves' Hyperthyroidism in Pregnancy In the last guidelines, the experts recommended switching women with hyperthyroidism on methimazole (MMI) to propylthiouracil (PTU) during the first trimester, Dr. Pearce explained. Now we are saying we don't know if that is the right approach, she said
  4. Alexander EK, Pearce EN, Brent GA, et al. 2017 Guidelines of the American Thyroid Association for the diagnosis and management of thyroid disease during pregnancy and the postpartum. Thyroid 2017;27:315-89. The American College of Obstetricians and Gynecologists. Practice bulletin: Thyroid disease in pregnancy. Obstet Gynecol 2015;125:996-1005

Hyperthyroidism in Pregnancy American Thyroid Associatio

  1. g thyroid care through clinical excellence, education, scientific discovery and advocacy in a collaborative community.. The Guidelines were compiled by American Thyroid Association ® Guidelines Taskforces selected for their expertise on the topic
  2. Antithyroid medication can treat most cases of Graves disease in pregnancy. Rarely, some women may need surgery to remove part of the thyroid. The best time for this surgery during pregnancy is the second trimester (months 4 through 6). Women who are or may be pregnant should not receive treatment with radioactive iodine
  3. Graves' hyperthyroidism (GH) affects fewer than 1 in 100 women pregnant women, including those with pre-existing disease and women who have newly diagnosed Graves' thyroiditis 1 When left untreated, or if insufficiently managed, Graves' disease during pregnancy is associated with substantial adverse effects on the pregnancy such as pre-eclampsia, premature delivery, low birth weight, and even pregnancy loss
  4. • 90-95% of hyperthyroid pregnant women have Grave's disease -Clinical picture: thyrotoxicosis, thyromegaly with bruit, opthalmopathy -Autoimmune disease with Thyroid Stimulating Antibodies (TSIs) that activate TSH receptor •Present in 95% of Grave's patient
  5. Thyroid disease, both thyrotoxicosis and hypothyroidism, are associated with adverse pregnancy outcomes and poor fetal development, including neurocognitive outcomes. Given the importance of understanding physiology, changes during pregnancy, and management, ACOG has published recommendations to guide clinical decision-making
  6. Graves' disease is an autoimmune disorder that causes hyperthyroidism. It is the most common form of overactive thyroid, which causes many of your body's functions to speed up. If a woman with..
  7. Graves' hyperthyroidism affects 0.2% of pregnant women. Establishing the correct diagnosis and effectively managing Graves' hyperthyroidism in pregnancy remains a challenge for physicians. The goal of this paper is to review the diagnosis and management of Graves' hyperthyroidism in pregnancy. The paper will discuss preconception counseling, etiologies of hyperthyroidism, thyroid.

Thyroid and Pregnancy. May 01, 2020. Episode 33. Aaron talks about thyroid and pregnancy with Elizabeth Pearce, professor of medicine at Boston University Medical Center and president of the American Thyroid Association. Clinical Endocrinology Update EndoSession: Clinical Update on Thyroid and Pregnancy Diagnosis and management of thyroid disease during pregnancy and the postpartum external link opens in a new window. Published by: American Thyroid Association. Last published: 2017. 2017 guidelines of the American Thyroid Association for the diagnosis and Guidelines for the treatment of childhood-onset Graves' disease in Japan external.

The treatment of pregnant women with hyperthyroidism parallels that of nonpregnant women but presents unique problems. There are several important issues to be considered when hyperthyroidism occurs during pregnancy. These include understanding indications for treatment, therapeutic options for pregnant women, and goals of antithyroid drug (ATD. Alexander EK, Pearce EN, Brent GA, et al. 2017 Guidelines of the American Thyroid Association for the Diagnosis and Management of Thyroid Disease During Pregnancy and the Postpartum. Thyroid 2017; 27:315

If you are taking antithyroid drugs there is a very slight increased risk of the baby developing structural abnormalities so some patients choose to have definitive treatment for Graves' disease with radioactive iodine or surgery before considering a pregnancy Thyroid disorders and pregnancy. An undiagnosed or uncontrolled thyroid disorder can make it harder to conceive and can cause problems during pregnancy. We have guidance to help patients understand more about their thyroid disorder and how it may affect, or be affected by, pregnancy. In addition, we have resources for medical professionals. Examples are certain cases of pheochromocytoma, polycythemia, lymphoma, and the leukemias. Pulmonary disease, infection, parkinsonism, pregnancy, or nephritis may stimulate certain features of thyrotoxicosis. Treatment of Graves' disease cannot yet be aimed at the cause because it is still unknown The ATA guidelines on pregnancy and the postpartum note that women with Graves' disease during pregnancy can have a relapse of disease, or may need increased antithyroid drug doses after pregnancy [ Alexander, 2017 ]. If a woman is breastfeeding, antithyroid drugs should be taken after breastfeeding in divided doses [ Kahaly, 2018 ]

Graves' Disease and Pregnancy GDAT

  1. The classic symptoms of Graves' disease are common in pregnant women without thyroid disease and include: palpitations, heat intolerance, weight loss, insomnia, and irritability. (See Table 2) The clinical signs of Graves' disease are usually not present in euthyroid pregnant women however
  2. Thyroid Disease in Pregnancy Contributor: Daniel Pasko, MD Last Update: February 2021 Background Thyroid disease is the 2nd most common endocrinopathy in pregnancy. Hypothyroidism complicates 1% of pregnancies. Hyperthyroidism complicates 0.2% of pregnancies. Diagnosis and management is influenced by numerous physiologic changes in thyroid function. Pregnancy Physiology Maternal thyroid volume.
  3. Various problems may arise in the management of a pregnant patient with hyperthyroidism (see scenario box).1 This article will explore the problems in relation to the prevalence of hyperthyroidism in pregnancy, therapeutic issues, pregnancy planning, and clinical management. No controlled trials of management have been conducted, but consensus guidelines have recently been published.
  4. Graves disease is the most common cause of thyrotoxicosis during pregnancy. The management of Graves disease complicating pregnancy is as follow: Antithyroid drugs: The thionamides - methimazole (MMI) and propylthiouracil (PTU) - are most commonly used for the treatment of hyperthyroidism during pregnancy

Graves' Disease and Pregnancy - AARD

pregnancy are Hashimoto's thyroiditis and treated Graves' disease. The increase in serum free thyroxine (FT4) levels in women early in normal pregnancy does not occur in women who are hypothyroid. It is thus very important to ensure adequate thyroxine replacement from as early as 5 weeks gestation [5] This guideline covers investigating all suspected thyroid disease and managing primary thyroid disease (related to the thyroid rather than the pituitary gland). It does not cover managing thyroid cancer or thyroid disease in pregnancy. It aims to improve quality of life by making recommendations on diagnosis, treatment, long-term care and support

Screening, diagnosing, and managing hyperthyroidism—guidelines overview 2 In 2016, the ATA updated the ATA/AACE guidelines for hyperthyroidism, a form of thyrotoxicosis. Updates include new approaches and changing paradigms for:3 • Evaluating and managing Graves' disease with antithyroid drugs (ATDs) • Managing hyperthyroid patients. For overt hyperthyroidism due to Graves' disease or thyroid nodules, ATD therapy should be either initiated (before pregnancy if possible, and for those with new diagnoses) or adjusted (for those with a prior history) to maintain the maternal thyroid hormone levels for free T 4 at the upper limit of the nonpregnant reference range

2016 American Thyroid Association Guidelines for Diagnosis

g/day, increasing to 200-250 g/day during pregnancy and lactation. Maternal Hyperthyroidism (Graves' Disease) Maternal hyperthyroidism is mainly caused by auto-immune Graves' disease. Although Graves' disease occurs in 0.2% of women, only 1-5% of infants born to these mothers have neonatal Graves' disease The following statements regarding the management of thyroid disease have been formulated to provide clinical advice to medical colleagues during this time Pregnancy/reproduction. The 2016 European Thyroid Association/European Group on Graves' Orbitopathy Guidelines for the Management of Graves' Orbitopathy Hyperthyroidism in pregnancy is usually caused by Graves' disease and occurs in 1 to 4 of every 1,000 pregnancies in the United States. 1 Graves' disease is an autoimmune disorder. With this disease, your immune system makes antibodies that cause the thyroid to make too much thyroid hormone Guideline title 2017 Guidelines of the American Thyroid Association for the Diagnosis and Management of Thyroid Disease During Pregnancy and the Postpartum. Release date March 1, 2017. Prior version October 2011. Developer American Thyroid Association (ATA). Funding source ATA. Target population Women with thyroid disease before, during, and after pregnancy. Major recommendation

ACOG Practice Bulletin on Thyroid Disease in Pregnancy

Graves' Disease During Pregnancy - Find out what Graves' Disease means for you and baby throughout your pregnancy. Get information on causes, diagnosis, treatments and risks of Graves' Disease, thyroid conditions and other pregnancy problems at TheBump.com Nguyen: The 2017 ATA guideline for managing thyroid disease in pregnancy reflects a change in the TSH upper limit range. Where it used to be between 2.5 mIU/L and 3 mIU/L, the guideline authors. ETA Guidelines 2021 ETA Guidelines for the Management of Iodine-Based Contrast Media-Induced Thyroid Dysfunctio Graves' disease is an autoimmune disorder that causes hyperthyroidism, or overactive thyroid. With this disease, your immune system attacks the thyroid and causes it to make more thyroid hormone than your body needs. The thyroid is a small, butterfly-shaped gland in the front of your neck

ScienceCentral

Graves' disease is the most common cause of autoimmune hyperthyroidism in pregnancy. It has been reported in about 0.5% of pregnancies. It may be the first manifestation of the disease or may present as a recurrent episode in a woman with past history of hyperthyroidism, or a pregnancy in a women on antithyroid drugs [ 12 ] SPANISH TRANSLATION The Thyroid Disease During Pregnancy GUIDELINES Pocket Guide is endorsed by The American Thyroid Association and based on their latest guidelines. It contains graded recommendations for assessment and management of pregnant patients and their children with thyroid disorders. Included is a testing algorithm, a table of therapeutic options for Graves' disease and a table of. Graves' disease เป็นสาเหตุที่พบบ่อยที่สุดของภาวะ Hyperthyroidism หลังจากในปี 2016 ที่ American Thyroid Association ได้ออก Guideline สำหรับภาวะ Hyperthyroidism and other causes of thyrotoxicosis ในปี 2018 นี้ European Thyroid Association ได้ออก.

UK Thyroid Function Tests Guidelines

[Guideline] Alexander EK, Pearce EN, Brent GA, et al. 2017 Guidelines of the American Thyroid Association for the Diagnosis and Management of Thyroid Disease During Pregnancy and the Postpartum. In women who have underlying hyperthyroidism, in particular Graves' disease, uncontrolled disease may have detrimental effects on the pregnancy for both more and child. The best way to avoid the complications of hyperthyroidism in pregnancy is to be sure the disease is controlled before conception occurs

Based on the 2017 Guidelines of the American Thyroid Association for the Diagnosis and Management of Thyroid Disease During Pregnancy and the Postpartum, if a woman is pregnant or planning pregnancy, TSH testing is indicated if she has any of the risk factors listed in Table 3 14. Pregnant women often experience symptoms that can be non. Leger J, Gelwane G, Kaguelidou F, et al; French Childhood Graves' Disease Study Group. Positive impact of long-term antithyroid drug treatment on the outcome of children with Graves' disease: national long-term cohort study [Guideline] Alexander EK, Pearce EN, Brent GA, et al. 2017 Guidelines of the American Thyroid Association for the Diagnosis and Management of Thyroid Disease During Pregnancy and the Postpartum. Thyroid . 2017 Mar. 27 (3):315-89 Hyperthyroid and pregnant. Thyroid UK receives a lot of correspondence from women who are pregnant and not sure what to do to preserve the health of their baby. There has been a lot of research over the past few years in regard to pregnancy and thyroid disease which has led to more updated guidelines on this. in pregnancy is bad for the baby Graves disease (GD) and β-human chorionic gonadotropin (hCG)-mediated hyperthyroidism are the most common causes of hyperthyroidism in pregnancy. Whereas hCG-mediated hyperthyroidism is usually transient and benign, thyrotoxicosis due to GD warrants treatment

Graves disease is a condition where the thyroid gland makes too much thyroid hormone. This is called hyperthyroidism or overactive thyroid. Graves disease is the most common cause of hyperthyroidism during pregnancy Patients who develop thyroid storm have a 20 to 50% chance of dying. In general, if your hyperthyroidism is caught early and you control it well with medication or other options, experts say your Graves' disease life expectancy and prognosis is favorable. But detection as well as effective treatment is crucial Complications include Graves' orbitopathy, thyroid storm (thyrotoxic crisis), pregnancy complications, reduced bone mineral density, heart failure, and atrial fibrillation. Risk factors include smoking, a family history of thyroid disease, co-existent autoimmune conditions, and low iodine intake Current evidence suggests that children with medical complexity, with genetic, neurologic, metabolic conditions, or with congenital heart disease can be at increased risk for severe illness from COVID-19. Similar to adults, children with obesity, diabetes, asthma or chronic lung disease, sickle cell disease, or immunosuppression can also be at.

ACOG Guidelines at a Glance Thyroid Disease in Pregnanc

2017 Guidelines of the American Thyroid Association for

Graves Disease. A 27-year-old woman with vitiligo presents to her primary care physician with progressive fatigue and weight loss despite a good appetite. On exam, her blood pressure is 170/110 mmHg, pulse is 110/min, diaphoretic, displays brisk reflexes, and has bilateral exophthalmos. patients transition to hypothryoidism 3-6 months post. The Hyperthyroidism GUIDELINES Pocket Guide is endorsed by The American Thyroid Association and based on their latest guidelines. It contains comprehensive, graded recommendations for evaluating and treating Graves' disease and orbitopathy, toxic adenoma, toxic multinodular goiter, destructive thyroiditis, drug-associated and other causes of thyrotoxicosis in adults, children and during. Graves' disease. Graves' disease. an immune system disorder that results in the overproduction of thyroid hormones (hyperthyroidism) is an autoimmune. Autoimmune. patients with autoimmune diseases frequently have antibodies circulating in their blood that target their own body tissues. condition where your immune system Maternal Graves' Disease - Risk to Fetus/Neonate ATD,RAI,Surgery TRAb titres in pregnancy Signs and symptoms Asymptomatic infants 1. Minimum 48 hr stay for infant even if asymptomatic. 2. TSH, FT4, FT3 @ 48 hrs for asymptomatic baby and repeated at 5-7 days Antibodies that cause Graves' disease cross the placenta during pregnancy. If you have Graves' disease during pregnancy, your baby is at risk for thyroid conditions during and after birth. If you had treatment for Graves' disease with radioactive iodine before pregnancy, your baby is at risk for Graves' disease. Miscarriage or.

The goal of this guideline is to familiarise midwifery, medical and nursing staff to the risks for infants of mothers with Graves' Disease, to ensure they will be appropriately screened for thyrotoxicosis and those found positive will be appropriately and promptly managed Graves' Disease and Pregnancy. Treatment of Graves' hyperthyroidism during pregnancy is different from that in non pregnant women, since radioactive iodine cannot be given and surgery should be avoided (particularly in the first and third trimesters of the pregnancy for fear of inducing a miscarriage)

New Guidelines Released for Thyroid Dysfunction in Pregnancy. Authors: News Author: The Endocrine Society's clinical practice guideline for the management of thyroid disease during pregnancy and after birth has been updated from its 2007 version. history of Graves' disease and treatment with 131 I or thyroidectomy before pregnancy The prevalence of maternal hyperthyroidism due to Graves' disease in pregnancy varies from 0.1% to 2.7%. The prevalence of subsequent, transient neonatal Graves' disease is uncertain, varying from 1.5% to 20% in some studies. Foetal thyroid development is in progress by week 7 gestation, thyroid hormone synthesi Graves' disease usually becomes less severe during the later stages of pregnancy due to a reduction in TSH receptor antibody concentrations or, rarely, mediated by a change in the activity of TSH receptor antibodies from stimulatory to blocking. hCG-mediated hyperthyroidism may occur transiently in the first half of gestation and is typically. Adults with Graves' disease should be offered radioactive iodine unless antithyroid drugs could achieve remission in mild, uncomplicated disease. Contraindications to radioactive iodine include compression, suspected malignancy, planned or current pregnancy, planned fatherhood and active thyroid eye disease throughout pregnancy. II. BACKGROUND. Neonatal autoimmune hyperthyroidism (neonatal Graves' disease) is a rare but serious disorder affecting appoximately 2% of infants whose mothers have Graves' disease. 1. Maternal). The (thyrotropin stimulating hormone receptor antibodies (TRAb) can cross the placenta and ca

The incidence of Graves' disease varies in and around pregnancy. 10 Pregnancy is associated with profound changes in the maternal immune system, with a general immune suppression during the pregnancy followed by an immune rebound after the birth of the child. 11 Such alterations may influence the onset of autoimmune diseases . 10 In a Danish. Clinical Practice Guidelines + Codes (CPG + Codes, for short) are the most credible resources in the market, combining quick-reference versions of official clinical guidelines with ICD-10-CM and CPT® codes.. Each title in this digital series is based on a set of condition- or disease-specific guidelines that are reviewed and approved by the authoring organization prior to publication

Thyroid Disease in Pregnancy - American Family Physicia

Hyperthyroidism: Diagnosis and Treatment - - AmericanHypothyroidism --a clinical perspective

Managing thyroid disease during pregnancy, new ata guideline

0.2% of pregnancies prevalence 0.1% to 0.4%, with 85% Graves' disease •Single toxic adenoma, multinodular toxic goiter, and subacute thyroiditis •gestational trophoblastic disease,viral thyroiditis and tumors of the pituitary gland or ovary (struma ovarii) TSH is depressed and fT4 and fTI are increased. The RT3U that normally is decreased. Thyroid disease is diagnosed by your symptoms, an exam, and tests. Your health care practitioner will examine your neck while you swallow. The thyroid gland moves when you swallow. This makes it easier for your health care practitioner to feel. Your health care practitioner also may examine your skin and eyes and check your weight and temperature

Thyroid Testing Algorithms in Pregnancy AACC

Diagnosis and management of thyroid disease during pregnancy and the postpartum external link opens in a new window Alexander EK, Pearce EN, Brent GA, et al. 2017 Guidelines of the American Thyroid Association for the diagnosis and management of thyroid disease during pregnancy and the postpartum The 2017 American Thyroid Association Guidelines for the Diagnosis and Management of Thyroid Disease During Pregnancy and the Postpartum 195 recommend that, prior to conception, thyroid function. Measurement is done in pregnant women with a history of Graves disease during the 3rd trimester of pregnancy to assess the risk of neonatal Graves disease; TSH receptor antibodies readily cross the placenta to stimulate the fetal thyroid. Most patients with Graves disease have circulating antithyroid peroxidase antibodies, and fewer have. During pregnancy, hyperthyroidism is most often caused by either Graves' disease or temporary gestational hyperthyroidism, so your doctor will need to differentiate between these two. This can be a bit tricky since you can't have a radioactive iodine uptake scan of your thyroid while you're pregnant because of the risk it poses to your baby A comprehensive, international guideline that incorporates the most up-to-date knowledge on diagnosis, treatment and patient impact of Turner syndrome (TS) has been published in the European Journal of Endocrinology (EJE). The guidelines incorporate the latest evidence-based advice for diagnosis and treatment of girls and women with TS

In most cases, ATD therapy should include methimazole, except during the first trimester of pregnancy (when propylthiouracil is preferred), in cases of thyroid storm, or in patients with minor reactions to methimazole who decline other treatment options. 2 If ATD therapy is chosen to treat Graves disease, it should be given for 12 to 18 months Results: The revised guidelines for the management of thyroid disease in pregnancy include recommendations regarding the interpretation of thyroid function tests in pregnancy, iodine nutrition. Graves disease is an autoimmune disease more common in women between age 20 and 50, who often have a family history of thyroid disease. Learn more about Graves' disease, including the effects it has on women's hormone health and pregnancy As a general rule, updated screening guidelines from the USPSTF suggest patients with TSH levels <0.1 mIU/L—and especially those with Graves' disease or nodular thyroid disease—should receive treatment with antithyroid medication, such as methimazole, or nonreversible thyroid ablation therapy commonly due to graves disease and gestational thyrotoxicosis. Propylthiouracil (Ptu) is the treatment of choice in any woman with graves disease planning pregnancy or in the first trimester as carbimazole is associated with a rare embryopathy. in the second and third trimesters, switching to carbimazole has been suggested due to th

Graves' ophthalmopathy is the most common extra-thyroid manifestation in patients with Graves' disease, based on in ammatory and autoimmune conditions in orbital tissue. This practical. The symptoms of Graves' disease include: racing heart. sweating. weight loss. irritability. fatigue and sleep loss. About 1 in 3 people who have had Graves' disease can develop bulging eyes, or exophthalmos. This is because the antibodies that attack the thyroid can also attack the muscles and tissues around the eyes

Learn about Graves' disease, also known as Basedow's disease: What it is, symptoms in females & males including bulging eyes, causes, diagnosis & treatments for this thyroid condition. With FAQs on Graves' and pregnancy, diet & more thyroid disease in pregnancy nice guidelines. May 22, 2021 Uncategorized Uncategorize

Hypothyroidism Thyroid Symptoms | Thyroid disease symptomseDucate | Hyperthyroidism overview

Thyrotoxicosis occurs in 1 of 1000-2000 pregnant women, the most frequent cause being Graves' disease (GD); if not treated, it is associated with a significant increased risk of adverse outcomes and maternal-fetal complications [14, 15].Preterm labor, fetal loss, low birth weight, hydrops, pregnancy-induced hypertension, maternal congestive heart failure, and major and minor congenital. Hyperthyroidism (high thyroid levels) and breastfeeding. Hyperthyroidism and Breastfeeding at Prairie Lakes Healthcare System. Lactation in mothers with Graves' disease from Chapter 14: Thyroid Regulation and Dysfunction in the Pregnant Patient in The Thyroid and Its Diseases. Postpartum Thyroid Problem Graves's Disease. Graves'- disease is named after the Irish physician (Robert Graves) and in some areas of the world referred to as Basedow's disease after the German physician (Karl von Basedow). They bothdescribed several cases in the 1830s In all countries it is also known as Thyrotoxicosis Eye problems, known as thyroid eye disease or Graves' ophthalmopathy, affect around 1 in 3 people with an overactive thyroid caused by Graves' disease. Problems can include: If you're not planning a pregnancy, it's important to use contraception because some treatments for an overactive thyroid can harm an unborn baby. Thyroid storm ATA guideline on diagnosis and management of thyroid disease during pregnancy and the postpartum (cxh 121547823 p mdc 28056690 p Thyroid 2017 Mar;27(3):315), correction can be found in cxh 125158860 p mdc 28836913 p Thyroid 2017 Sep;27(9):1212, editorial can be found in cxh 121547815 p mdc 28257275 p Thyroid 2017 Mar;27(3):309, commentaries can.