Can I get pregnant after papillary thyroid cancer surgery?

  Although papillary thyroid cancer is a malignant tumor, it has a very high cure rate after standardized treatment. However, there is one question that still worries many young female patients, that is, whether it will affect fertility. The answer is in the negative. Let’s learn more about how female patients with papillary thyroid cancer can have their own babies.  1. Choice of pregnancy time ① Before surgery, do not get pregnant as much as possible, because pregnancy and breastfeeding will stimulate tumor growth, which is not conducive to the treatment of disease after birth.  ②Cleanly remove the tumor through regular surgery, and under the condition of ensuring no recurrence of tumor, you can get pregnant in about six months to a year.  ③If the patient needs 131I treatment after surgery, it is better to consult the nuclear medicine doctor about the time of pregnancy. Because 131I treatment is radioactive, it can cause fetal malformation in early pregnancy.  2. Discontinuing medication during pregnancy is more detrimental to baby growth Patients with papillary thyroid cancer need to take thyroxine tablets after surgery, and whether they need to continue the medication after pregnancy is also one of the main concerns of patients.  It can be clearly told that thyroxine tablets, as a medicine to supplement the body with thyroid hormones and inhibit tumor recurrence, will not affect the fetus within the normal dose. During pregnancy, the mother should not stop the medication privately because she is worried about the effect of taking the medication on the fetus, otherwise it will increase the probability of recurrence of papillary thyroid cancer or the occurrence of hypothyroidism. Hypothyroidism during pregnancy can affect the intellectual development of the fetus, and in serious cases, it can cause fetal miscarriage.  During pregnancy, as the fetus grows up, the mother’s demand for thyroid hormones will gradually increase, so patients need to regularly review and adjust the dosage of medication to meet the body’s demand for hormones.  ①In early pregnancy (1~3 months), patients should review their thyroid function once every 2 months; ②In mid-pregnancy, 4~6 months, shorten it to once a month; ③In late pregnancy, it is better to come for review once every half month to adjust the dosage of medication in time.  4.Can I breastfeed normally after delivery?  After pregnancy and delivery, mothers can breastfeed their children normally. The amount of thyroid hormone secreted into the mother’s breast milk is very small, which is not enough to cause hyperthyroidism in the child, nor will it suppress the child’s own thyroid hormone secretion, so the mother does not need to stop taking the medication during breastfeeding and can breastfeed her child without worry.  5.Can thyroid cancer be hereditary?  Some cancers (such as breast cancer) do have a family tendency, but there is no definite evidence that papillary thyroid cancer is hereditary. Mothers do not need to worry that papillary thyroid cancer will be passed on to their children, and their own medication during pregnancy will not cause abnormal thyroid function in the fetus. So mothers with thyroid cancer, don’t give yourself too much burden of thought, treat it seriously and you can also have a healthy baby.