Postpartum thyroiditis history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sunny Kumar MD [2]

Overview

The majority of patients with Postpartum thyroiditis, PPT are asymptomatic.

The hallmark of PPT is lassitude. A positive history of fatigue and depression is suggestive of PPT. The most common symptoms of PPT include depression, fatigue, and anxiety.

History and Symptoms

• The majority of patients with PPT are asymptomatic.

• The hallmark of PPT is lassitude. A positive history of fatigue and depression is suggestive of PPT. The most common symptoms of PPT include depression, fatigue, and anxiety.
• Symptoms of PPT may be observed after delivery of baby, abortion, or miscarriage.
• Symptoms of PPT depend on clinical stages of PPT
• There are two possible clinical stages

History

Patients with Transient Hyperthyroidism stage of PPT are mostly underdiaginosed and develops symptoms around one to four months median period 13th postpartum week and they stay for two to three months which may include a positive history of:

• Lack of energy
• Anxiety
• Tremors
• Palpitation
• Unexplained weight loss
• Insomnia
• Increased sensitivity to heat
• Loose stool

History

Patients with Transient Hypothyroidism stage of PPT develops profound symptoms compared to hyperthyroid symtoms around fourth postpartum month median period 19th week and they stay for sixth postpartum month which may include a positive history of:

• Lack of energy
• Increased sensitivity to cold
• Constipation
• Dry skin
• Difficulty concentrating
• Aches and pains
• Carpel tunel syndrome
• Weight gain
• Dry skin
• Cahnges in voice
• Decreased milk production
• Constipation

Common Symptoms

Common symptoms of PPT include:

• Depression
• Anxity
• Fatigue

Less Common Symptoms

Less common symptoms of PPT include

• Tremors
• Aches
• Poor concentration