Document Detail


What is a normal thyroid-stimulating hormone (TSH) level? Effects of stricter TSH thresholds on pregnancy outcomes after in vitro fertilization.
MedLine Citation:
PMID:  20655528     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Using a thyroid-stimulating hormone (TSH) cutoff of 2.5 mIU/L or 4.5 mIU/L, no differences in the rates of clinical pregnancy, delivery, or miscarriage were observed in this large, retrospective cohort study of first-cycle IVF patients from 2005 through 2008, after controlling for age. Although lowering the TSH threshold to 2.5 mIU/L would result in a nearly fivefold increase in the number of women being classified as hypothyroid, the lack of differences in maternal clinical outcomes must be considered in the current controversy regarding the relative merits of lowering the upper limit of normal of TSH.
Authors:
Andrea Reh; James Grifo; Ann Danoff
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Publication Detail:
Type:  Journal Article     Date:  2010-07-23
Journal Detail:
Title:  Fertility and sterility     Volume:  94     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-26     Completed Date:  2011-01-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2920-2     Citation Subset:  IM    
Copyright Information:
Published by Elsevier Inc.
Affiliation:
Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, New York University Fertility Center, New York, New York, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Case-Control Studies
Cohort Studies
Congenital Hypothyroidism / epidemiology
Female
Fertilization in Vitro*
Humans
Hypothyroidism / blood*,  complications,  epidemiology
Infertility, Female / blood,  complications,  therapy
Pregnancy / blood*
Pregnancy Complications / blood*,  epidemiology,  etiology
Pregnancy Outcome*
Reference Values
Retrospective Studies
Thyrotropin / blood,  physiology,  standards*
Chemical
Reg. No./Substance:
9002-71-5/Thyrotropin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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