Prof. Dr. Ali EKİZ

Prof. Dr. Ali EKİZ

Gynecology and Perinatology (Risky Pregnancy) Specialist

With over 15 years of professional experience, dozens of national and international research articles, and most importantly, his smiling face, Gynecology and Perinatology Specialist Prof. Dr. Ali EKİZ is with you.

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Hysterectomy

What is Pregnancy Follow-up in Those with Thyroid Disorder? How To?

Pregnancy is an exciting but also tense situation for every parent. In some cases, there may be risks to the health of the mother and baby. One of these conditions is thyroid disorder. Thyroid disorder during pregnancy can cause various risks to the health of the mother and baby. Imbalance of thyroid hormones can affect the pregnancy process and lead to some complications. Therefore, the pregnancy follow-up process is important. In this article, we have compiled what you need to know about pregnancy follow-up in those with thyroid disorders.

What are the Risks of Thyroid Disorder During Pregnancy?

Having a thyroid disorder in the expectant mother during pregnancy may lead to various risks. We can list the possible risks of thyroid disorder during pregnancy as follows:

• Low birth weight: Low maternal thyroid hormones may cause low birth weight in the baby.

• Possibility of premature birth: Imbalance of thyroid hormones may increase the risk of premature birth.

• Preeclampsia: High thyroid hormones may increase the risk of a pregnancy-related hypertension complication called preeclampsia.

• Placental problems: Improper regulation of thyroid hormones can affect the function of the placenta.

• Risk of gestational diabetes: Thyroid disorder may increase the risk of developing gestational diabetes.

• Risk of preterm birth: High or low thyroid hormones may increase the risk of preterm birth.

• Thyroid problems in the baby: Thyroid disorder in the expectant mother may cause temporary thyroid problems in the baby. Especially if the expectant mother has Graves’ disease, it may cause the baby’s thyroid gland to work rapidly.

• Mental and neurological development: Thyroid hormones are critical for the mental and neurological development of babies. Thyroid disorder in the expectant mother may cause problems in these areas in the baby.

Correct treatment and regular follow-up for expectant mothers with thyroid disorders during pregnancy can help minimize these risks. When pregnancy is planned or pregnancy is detected, a doctor should be consulted and thyroid functions should be checked. Proper regulation of thyroid hormones is important for a healthy pregnancy and a healthy baby.

How to Follow Pregnancy in People with Thyroid Disorder?

Expectant mothers with thyroid disorders during pregnancy can have a healthy pregnancy with regular follow-up and appropriate treatment. The follow-up process is important for the health of mother and baby and therefore includes several steps:

• Thyroid Function Tests: Thyroid function tests are performed in the early stages of pregnancy, when the pregnancy is planned or when pregnancy is detected. These tests usually include TSH (Thyroid Stimulating Hormone) and free T4 (free thyroxine) levels. These tests help evaluate how thyroid function is working and help determine the treatment plan.

• Medication Adjustment: Thyroid hormone levels may change during pregnancy. If the expectant mother has previously been receiving thyroid hormone replacement therapy, her hormone need will increase as the pregnancy progresses due to the increasing metabolic load and this will need to be regulated.

• Regular Doctor Visits: Expectant mothers with thyroid disorders during pregnancy should visit the doctor regularly. During these visits, thyroid hormone levels and general health status are monitored. If necessary, adjustments are made for treatment.

• Diet and Medications: Expectant mothers with thyroid disorders should regularly follow the diet and medications recommended by their doctors. It is important to keep thyroid hormones balanced during pregnancy. Therefore, the right diet and medications can help achieve this balance.

• Baby Monitoring: Thyroid functions in the baby can also be monitored during pregnancy. Temporary hyperthyroidism may also develop in the baby, especially if the expectant mother has had Graves’ disease. For this reason, thyroid functions are also checked in the baby.

Expectant mothers with thyroid disorders during pregnancy should closely coordinate their treatment and follow-up processes with their doctors. It is important to follow the doctor’s recommendations, not to neglect regular check-ups, and for a healthy pregnancy. Every pregnancy is individual, so it’s important to stay in touch with your doctor for a follow-up plan that suits your personal situation.

Does Thyroid Disorder Affect Conception?

Thyroid levels that are lower than normal may cause a problem called infertility. However, it does not completely prevent pregnancy. When a woman with a thyroid disorder becomes pregnant; You may experience problems such as premature birth and miscarriage.

How is Hysterectomy Surgery Performed?

There are many different methods for hysterectomy procedures. The common feature of all technical methods is that the procedure is performed under anesthesia.

• In abdominal hysterectomy surgery, it is aimed to reach the uterine tissue through the abdomen. The uterus is removed from the abdominal cavity with the help of an incision in the abdominal area. This incision is generally similar to the incision made during a cesarean section.

• In another method, the uterus is removed through an incision made in the inner part of the vagina. Since this method is performed vaginally, there is no visible incision from the outside.

• In laparoscopic hysterectomy, instead of large incisions in the abdominal area, the light source, camera and surgical instruments are delivered through 3 to 4 small incisions in the abdomen. After reaching the abdomen, the uterus is identified and the uterine tissue is removed in small pieces.

There are also hysterectomy procedures, which are named differently depending on which parts of the uterine tissue will be removed or which organs other than the uterus will be involved in the removal process.

How Many Hours Does Hysterectomy Surgery Take?

Hysterectomy surgery takes approximately 1 to 3 hours. This situation; It varies depending on the size of the uterus, whether other reproductive organs will be removed along with the uterus, and whether the patient has had surgery before.

What are the Benefits of Hysterectomy Surgery?

Hysterectomy can save the patient’s life, especially in cases of uterine or ovarian cancer. Therefore, it is a very important surgery. After hysterectomy performed due to myoma (myoma), the patient is completely relieved of complaints such as bleeding, pain and constipation, and her quality of life increases.

What should be taken into consideration after hysterectomy surgery?

There are various factors that patients should pay attention to after hysterectomy surgery. We can list these elements as follows:

• Vaginal discharge or minimal bleeding may occur after the surgery. In case of vaginal discharge, sanitary pads must be used.

• Care should be taken not to insert anything into the vagina after the procedure. It is also important to pay attention to the hygiene of the genital area.

• There is no harm in taking a bath. Depending on the material used, the stitches may need to be removed or may dissolve on their own. For this reason, care should be taken not to interfere with the stitches.

• Heavy work should be avoided for at least 2-3 months.

• It is recommended not to have sexual intercourse for up to 6 weeks after the procedure.

• Patients can return to exercise routines within 4 to 6 weeks. Exercise is also recommended for recovery. Exercise should not be challenging.

MAKE YOUR APPOINTMENT WITH PROF. DR. ALİ EKİZ!

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