Dr. Nashat Latib

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Hashimoto's and fertility


Hashimoto's Thyroiditis and Its Impact on Fertility

By Dr. Nashat Latib • October 10, 2023

Understanding and Overcoming the Challenges

Fertility is a deeply personal and cherished aspect of many individuals’ lives. For couples striving to conceive, the journey can sometimes present unexpected challenges. One such challenge is Hashimoto’s thyroiditis, an autoimmune thyroid condition that can influence fertility. In this article, we will explore the connection between Hashimoto’s and fertility and provide help on managing this condition to optimize your chances of conceiving naturally.

Understanding Hashimoto's Thyroiditis

Hashimoto’s thyroiditis, named after the Japanese physician Dr. Hakaru Hashimoto, is an autoimmune disorder in which the body’s immune system mistakenly attacks the thyroid gland. This relentless assault leads to chronic inflammation and, over time, can result in a decrease in thyroid function, leading to hypothyroidism.

Hashimoto’s thyroiditis can affect fertility by causing menstrual irregularities, anovulation, and altered hormone levels. An underactive thyroid caused by Hashimoto’s can disrupt the delicate hormonal balance needed for regular menstrual cycles. Irregular or absent periods may make it difficult to pinpoint ovulation, which is crucial for conception. Hypothyroidism can lead to anovulation, where the ovaries do not release eggs regularly or at all. Without ovulation, the chances of getting pregnant naturally are significantly reduced. Finally, Hashimoto’s can disrupt the normal functioning of the hypothalamus-pituitary-thyroid axis, affecting other hormones like prolactin and insulin. These imbalances can further complicate fertility.

At Reimagined Health, Dr. Christina and I are committed to providing comprehensive care that addresses more than just fertility concerns. Our approach respects conventional medicine with functional and holistic strategies to get to the root cause of your health issues, even Hashimoto’s Thyroiditis. If you are looking for functional medicine support in your journey to pregnancy click here to watch our on-demand webinar, where we reveal the 4R Fertility Formula we use to work with our clients If what we share sounds good, we invite you to apply for a spot in our high-touch, individualized group program that has over an 80% success rate in helping couples conceive naturally.

Managing Hashimoto's for Fertility

The good news is that Hashimoto’s thyroiditis can be managed effectively, and with the right approach, couples can enhance their fertility.

Thyroid hormone replacement therapy, such as levothyroxine (or other bioidentical options), is the cornerstone of Hashimoto’s management. Working with a healthcare provider experienced in treating thyroid disorders is essential to ensure that thyroid hormone levels are within the optimal range for fertility. This should include regular testing of thyroid function, which is essential to ensure that thyroid hormone levels remain stable. Adjustments to medication may be necessary, especially during pregnancy when thyroid requirements change.

From a Functional Nutrition perspective, a balanced and nutritious diet, along with a healthy lifestyle, can support thyroid health. Reducing stress, eliminating gluten,  getting regular exercise, and managing weight can all contribute to improved fertility outcomes. In some cases, supplements like selenium and zinc may be recommended to support the thyroid pathways and overall reproductive health.


Hashimoto’s thyroiditis is a manageable condition, and with the right care and support, couples can overcome its impact on fertility. If you are planning to conceive and have Hashimoto’s or suspect you may have thyroid issues, seek the expertise of a healthcare provider experienced in both thyroid management and fertility.

At Reimagined Health, Dr. Christina and I specialize in holistic approaches to fertility and thyroid health. We are here to support you on your journey towards achieving a healthy pregnancy. Remember, with the right guidance and treatment, your dream of starting or expanding your family can become a reality despite Hashimoto’s thyroiditis.


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