Thyroxin in Subclinical Hypothyroidism

H

Hawler Medical University

Status

Completed

Conditions

Pregnancy Loss
Sub Clinical Hypothyroidism

Treatments

Drug: Thyroxine

Study type

Interventional

Funder types

Other

Identifiers

NCT03712683
HawlerMU2

Details and patient eligibility

About

Subclinical hypothyroidism(SCH) is the elevated thyroid stimulating hormone (TSH) with normal free Thyroxine levels and it is a mild or compensated form of primary hypothyroidism. It has been suggested that SCH is more prevalent in infertile women (especially in women with ovulatory disorders.Various rates of SCH was reported in infertile women in different populations

Full description

Despite well-established recommendations on screening and treatment of overt hypothyroid in infertile women, there is a controversy regard the treatment of SCH in infertile women . There are few published data on the prevalence of SCH and the outcome of treatment of SCH in infertile women, many were conducted during IVF cycles . Moreover there are inconsistent results in these studies being authors advised to treat SCH before IVF and some other articles find out no any benefit regarding treatment with Thyroxine in SCH

Enrollment

168 patients

Sex

Female

Ages

18 to 42 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Unexplained infertility
  • TSH more than 2.5 and normal T3,T4 levels
  • Negative for Anti-thyroid antibodies

Exclusion criteria

  • current history of overt hypo or hyperthyroidism
  • recurrent pregnancy loss
  • women having franked causes for infertility like tubal blockage, pelvic inflammatory disease, endometriosis , ,uterine factor
  • Ovarian dysfunction or decreased ovarian reserve
  • abnormal seminal fluid analysis or male factor

Trial design

168 participants in 1 patient group

Sub clinical hypothyroid women
Experimental group
Description:
Levothyroxine sodium(Euthyrox 50µg and 25 µg MerckSerono) treatment was initiated and the women were followed in a combined clinic of endocrinologist and Gynecologist. 2.5 µg of Thyroxine daily was prescribed to women with TSH more than 2.5 mIU/L. Women with TSH more than 4mIU/L were given 50 µg daily . When pregnancy was confirmed Thyroxine was continued till 13 weeks gestation .
Treatment:
Drug: Thyroxine

Trial contacts and locations

0

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Data sourced from clinicaltrials.gov

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