17
Recommendations Table 7. Thyroid Autoimmunity in Women
With Infertility
Strength
*
Level
#
For euthyroid TPOAb and/or TgAb positive women with
infertility, levothyroxine treatment should not be offered.
a
Strong High
For euthyroid TPOAb and/or TgAb positive women planning
pregnancy, TSH and FT4 may be rechecked every 3–6 months.
Conditional Low
For TPOAb and/or TgAb positive women with
infertility, do not offer oral prednisolone or intravenous
immunoglobulin treatment.
Conditional Low
a
Regardless of TSH concentration or miscarriage history.
* Strength of Recommendation;
#
Level of Evidence; Good Practice Statement.
Recommendations Table 8. Subclinical and Overt
Hyperthyroidism Preconception
Strength
*
Level
#
Diagnostic confirmation of subclinical hyperthyroidism in
women with infertility should be performed by rechecking
TSH and FT4 aer 4–6 weeks.
Good Practice Statement
Overt hyperthyroidism in women with infertility should be
treated preconception, either according to the underlying
cause or with a low dose of antithyroid drugs if no underlying
cause can be identified.
Good Practice Statement
* Strength of Recommendation;
#
Level of Evidence; Good Practice Statement.
