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Pre-Conceptional Anti-Thyroid Antibodies and Thyroid Function in Association with Natural Conception Rates

Author

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  • Shoko Konishi

    (Department of Human Ecology, School of International Health, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, Japan)

  • Yuki Mizuno

    (Department of Human Ecology, School of International Health, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, Japan)

Abstract

Thyroid functioning is an integral part of the endocrine system that supports conception and pregnancy. Frequent consumption of seafood and iodine by Japanese people may adversely affect their thyroid function. Thus, in this study, we aimed to analyze the associations between iodine intake, thyroid hormones, autoimmunity, and natural conception rates in Japanese women trying to conceive their first child. A prospective study of 24 weeks targeted 80 women with no history of infertility, who did not plan to undergo fertility treatment. Concentrations of urinary iodine concentration and thyroid biomarkers in the serum at enrollment were measured. Thirty-five women naturally conceived during the follow-up. The median (inter-quartile range) urinary concentration of iodine was 297 (165, 500) μg/L. Free triiodothyronine (T3) and free thyroxin (T4) negatively correlated with urinary iodine concentrations. Women with anti-thyroid peroxidase (anti-TPO) ≥ 16 IU/mL had lower conception rates (hazard ratio: 0.28, 95% confidence interval, 0.08–0.92) compared with those with anti-TPO < 16 IU/mL, after adjusting for age and coital frequency. None of anti-thyroglobulin antibody, free T3, free T4, or thyroid-stimulating hormone showed significant associations with conception rate after adjusting for age and coital frequency. The negative association between thyroid autoimmunity and natural conception rates warrants further investigation.

Suggested Citation

  • Shoko Konishi & Yuki Mizuno, 2022. "Pre-Conceptional Anti-Thyroid Antibodies and Thyroid Function in Association with Natural Conception Rates," IJERPH, MDPI, vol. 19(20), pages 1-9, October.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:20:p:13177-:d:940974
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    References listed on IDEAS

    as
    1. Shoko Konishi & Fumiko Kariya & Kisuke Hamasaki & Lena Takayasu & Hisashi Ohtsuki, 2021. "Fecundability and Sterility by Age: Estimates Using Time to Pregnancy Data of Japanese Couples Trying to Conceive Their First Child with and without Fertility Treatment," IJERPH, MDPI, vol. 18(10), pages 1-13, May.
    2. Shoko Konishi & Tomoko T. Saotome & Keiko Shimizu & Mari S. Oba & Kathleen A. O’Connor, 2020. "Coital Frequency and the Probability of Pregnancy in Couples Trying to Conceive Their First Child: A Prospective Cohort Study in Japan," IJERPH, MDPI, vol. 17(14), pages 1-11, July.
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