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  • Writer's pictureDr Alex Dragan ND

Postpartum Thyroiditis


Postpartum thyroiditis is a thyroid disorder that affects women in the first year after giving birth. It is an autoimmune condition that causes inflammation and damage to the thyroid gland, leading to fluctuations in hormone levels. This condition can have a significant impact on a new mother's physical and emotional health, so it's important to understand the symptoms, causes, and treatment options available.


Symptoms of Postpartum Thyroiditis


Postpartum thyroiditis can present with a wide range of symptoms, which can make it difficult to diagnose.


The condition is typically divided into two phases: a hyperthyroid phase and a hypothyroid phase.


During the hyperthyroid phase, women may experience symptoms such as

  • anxiety

  • irritability

  • weight loss

  • rapid heartbeat

  • excessive sweating

  • difficulty sleeping

  • feeling warm or hot


In the hypothyroid phase, women may experience symptoms such as:

  • fatigue

  • depression

  • weight gain

  • constipation

  • feeling cold

  • dry skin

  • hair loss

  • decreased sex drive.


Not all women with postpartum thyroiditis will experience both phases, and the severity of the symptoms can vary. Some women may have mild symptoms that go away on their own, while others may require treatment to manage their symptoms.


Causes of Postpartum Thyroiditis


Postpartum thyroiditis is thought to be an autoimmune disorder, which means that the body's immune system mistakenly attacks the thyroid gland. The exact cause of the autoimmune response is not well understood, but it is believed to be related to the changes that occur in a woman's immune system during pregnancy and after childbirth.


Risk factors for developing postpartum thyroiditis include a personal or family history of thyroid disease, previous thyroid surgery, and having other autoimmune disorders such as type 1 diabetes or lupus.


Treatment Options for Postpartum Thyroiditis


Treatment for postpartum thyroiditis will depend on the severity of the symptoms and whether a woman is in the hyperthyroid or hypothyroid phase. In many cases, symptoms will resolve on their own within a few months, and no treatment is required.


If a woman is experiencing severe symptoms, her doctor may recommend medication to help regulate her thyroid hormone levels. For women in the hyperthyroid phase, beta-blockers can be used to manage symptoms such as rapid heartbeat and anxiety. In the hypothyroid phase, hormone replacement therapy may be necessary to help restore hormone levels to normal.


It's also important for women with postpartum thyroiditis to practice self-care and make lifestyle changes that can help manage their symptoms. This may include getting regular exercise, eating a healthy diet, getting enough sleep, and managing stress levels.


Postpartum thyroiditis is a common thyroid disorder that can affect women in the first year after giving birth. It can present with a wide range of symptoms and can have a significant impact on a new mother's physical and emotional health. By understanding the symptoms, causes, and treatment options available, women can work with their healthcare providers to manage their symptoms and maintain their overall health and wellbeing. If you're experiencing any symptoms of postpartum thyroiditis, be sure to speak with your healthcare provider for an accurate diagnosis and appropriate treatment plan.




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