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Preconception Counseling

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Thyroid Diseases in Pregnancy

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Abstract

The goal of preconception thyroid care is to identify and optimize risk factors in women with or at risk for thyroid disease to improve pregnancy outcomes. Thyroid hormones play a critical role in the neurodevelopment of the fetus and thyroid disease during pregnancy is a common clinical condition. Thus, preconception counseling is very important to screen for and treat thyroid conditions before conception whenever possible, at a time when analytical assays are more accurate, intervention most effective, and medical and surgical management safer. In this chapter, we discuss preconception counseling recommendations for common thyroid conditions in women of reproductive age, such as autoimmune thyroid disease, hypothyroidism, hyperthyroidism, thyroid nodules and cancer care and review the role of nutrition with regard to iodine supplementation.

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Author information

Authors and Affiliations

  1. Thyroid Section, Division of Endocrinology, Diabetes and Hypertension, Brigham and Women’s Hospital, Boston, MA, USA

    Theodora Pappa & Erik K. Alexander

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  1. Theodora Pappa
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  2. Erik K. Alexander
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Correspondence to Erik K. Alexander .

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Editors and Affiliations

  1. Endocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran

    Fereidoun Azizi

  2. Reproductive Endocrinology Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran

    Fahimeh Ramezani Tehrani

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Pappa, T., Alexander, E.K. (2022). Preconception Counseling. In: Azizi, F., Ramezani Tehrani, F. (eds) Thyroid Diseases in Pregnancy. Springer, Cham. https://doi.org/10.1007/978-3-030-98777-0_5

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  • DOI: https://doi.org/10.1007/978-3-030-98777-0_5

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-98776-3

  • Online ISBN: 978-3-030-98777-0

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