Schilddrüsenentzündung nach der Schwangerschaft (Postpartale Thyreoiditis)

During pregnancy, the functioning of the immune system, and thus the appearance of autoimmune processes, is suppressed. A few weeks after childbirth, immune function recovers, sometimes even becoming overactive.

Postpartum thyroiditis, which occurs at a frequency of 8-10% after pregnancy, is probably the initial manifestation of autoimmune thyroiditis. The thyroid gland hyperactivity that occurs in this context between the 4^th and 8^th week after delivery can last for six to nine months. This is followed in 70% of cases by temporary hypofunction, and finally by spontaneous healing. However, in 30% of cases, the hypothyroidism persists and requires treatment by medication.

Complaints:

Restlessness, rapid heartbeat, fatigue.

The complaints are often mild and are attributed to the general strain of pregnancy. They are therefore usually not recognized as the beginning of a thyroid disease. Pronounced complaints occasionally lead to the corresponding diagnostic work and therapy.

Therapy:

With pronounced cardiovascular complaints due to an overactive thyroid, the administration of beta-blockers (Inderal) may relieve the unwanted effects of the thyroid hormones on the heart. On the other hand, anti-thyroid medications such as Thiamazole and PTU have no effect on the hyperfunction associated with infection. This hyperthyroidism is treated by replacement of the missing thyroid hormone through medication (Levothyroxine).