Endocrine causes of recurrent pregnancy loss

Semin Perinatol. 2019 Mar;43(2):80-83. doi: 10.1053/j.semperi.2018.12.004. Epub 2018 Dec 20.

Abstract

Objective: To review the available data on endocrine disorders and recurrent pregnancy loss.

Findings: Our group found that most endocrine disorders do not seem to be correlated with a diagnosis of recurrent pregnancy loss (RPL). The exception to this is testing for thyroid stimulating hormone and thyroid antibodies, which is recommended due to a strong correlation with recurrent pregnancy loss and positive anti-thyroid peroxidase antibodies.

Conclusion: The available literature supports testing thyroid function and antibodies in women with RPL. Testing for other endocrine disorders is only warranted if otherwise clinically indicated, independent from a history of recurrent pregnancy loss.

Keywords: Endocrine; Hypothyroidism; Recurrent pregnancy loss; Thyroid antibodies.

Publication types

  • Review

MeSH terms

  • Abortion, Habitual / etiology*
  • Abortion, Habitual / immunology
  • Abortion, Habitual / physiopathology*
  • Autoantibodies / blood
  • Endocrine System Diseases / complications*
  • Endocrine System Diseases / immunology
  • Endocrine System Diseases / physiopathology
  • Female
  • Humans
  • Iodide Peroxidase / immunology
  • Luteal Phase
  • Pregnancy
  • Pregnancy Complications / immunology*
  • Pregnancy Complications / physiopathology

Substances

  • Autoantibodies
  • Iodide Peroxidase