Medical Disease Management

Medical conditions and complications such as diabetes, epilepsy, thyroid conditions, and high blood pressure should be treated and kept under control both before and during pregnancy.

It’s especially important to keep thyroid levels under control when trying to conceive. Thyroid conditions are hormone imbalances that, untreated, can interfere with conception. Low levels of thyroid hormone can hinder ovulation and there is sometimes a link between hypothyroidism (an underactive thyroid condition) and infertility. Additionally, certain autoimmune or pituitary disorders are underlying causes of hypothyroidism and may lead to impaired fertility.

Your healthcare provider should work closely with you on the status of your health throughout the preconception and pregnancy process. It’s important to take a very careful history of your medical conditions and family history to obtain a complete picture of any risk factors you face to ensure proper treatment and care during pregnancy.

It’s also a good idea to ask your doctor about whether the medications you are taking are safe to continue during pregnancy, and whether they may need to be adjusted.