Most women who develop postpartum thyroiditis don't need treatment during the hyperthyroid or hypothyroid phases of their condition. However, your doctor will likely monitor how your thyroid is functioning through blood tests every four to eight weeks. This will help him or her track whether abnormalities resolve themselves or detect the development of hypothyroidism.
If you develop severe signs and symptoms of hyperthyroidism, your doctor will likely recommend treatment with a drug that blocks the effects of thyroid hormone on the body (beta blocker). Beta blockers typically aren't recommended for women who are breast-feeding. However, the drug propranolol might be recommended because in breast milk it's not as concentrated as other beta blockers.
If you develop severe signs and symptoms of hypothyroidism, you'll likely need thyroid hormone therapy for six to 12 months. This treatment involves daily use of the synthetic thyroid hormone levothyroxine (Levothroid, Synthroid, others). When you stop taking the medication your doctor will monitor you for the development of hypothyroidism. You might need blood tests after two months, three months, six months and then, if your test results remains normal, annually.
Aug. 20, 2013
- Burman KD. Postpartum thyroiditis. http://www.uptodate.com/home. Accessed May 29, 2013.
- Cunningham FG, et al. Williams Obstetrics. 23rd ed. New York, N.Y.: The McGraw-Hill Companies; 2010. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=46. Accessed May 29, 2013.
- Todd CH. Management of thyroid disorders in primary care: Challenges and controversies. Postgraduate Medical Journal. 2009;85:655.
- De Groot L, et al. Management of thyroid dysfunction during pregnancy and postpartum: An Endocrine Society clinical practice guideline. Journal of Clinical Endocrinology and Metabolism. 2012;97:2543.
- Stagnaro-Green A, et al. Guidelines of the American Thyroid Association for the diagnosis and management of thyroid disease during pregnancy and postpartum. Thyroid. 2011;21:1081.
- Stagnaro-Green A. Approach to the patient with postpartum thyroiditis. Journal of Clinical Endocrinology and Metabolism. 2012;97:334.
- Hale TW. Medications and Mother's Milk 2012: A Manual of Lactational Pharmacology. 15th ed. Amarillo, Texas: Hale Publishing L.P.; 2012:673.
- Halter JB, et al. Hazzard's Geriatric Medicine and Gerontology. 6th ed. New York, N.Y.: The McGraw-Hill Companies; 2009. http://www.accessmedicine.com/content.aspx?aID=5133014&searchStr=hyperthyroidism. Accessed June 4, 2013.
- Postpartum thyroiditis. The American Thyroid Association. http://www.thyroid.org/postpartum-thyroiditis/. Accessed June 4, 2013.
- Nippoldt TB (expert opinion). Mayo Clinic, Rochester, Minn. June 5, 2013.