不孕症合并甲状腺功能亢进的诊治

Diagnosis and treatment of infertility with hy⁃perthyroidism.

不孕症合并甲状腺功能亢进(简称甲亢)临床上较为常见,甲亢对生殖功能及不孕症助孕治疗效果会产生不良影响,但相关机制仍存在争议。及时诊断不孕症合并甲亢,同时采取药物、手术及131I等有效措施积极规范化治疗甲亢,待甲状腺功能恢复正常后再行助孕治疗,对改善不孕症合并甲亢患者的预后至关重要。

Infertility with hyperthyroidism is a common clinical condition.Hyperthyroidism is known to ad⁃versely affect reproductive function and infertility outcomes,although the mechanisms involved remain controversial.Early diagnosis,standardised treatment(including medication,surgery and 131 iodine radio⁃therapy)and fertility treatment after normalisation of thyroid function are essential to improve the prognosis of these patients.