Specialty

Pregnancy and Endocrine Diseases

Gestational diabetes, thyroid disease in pregnancy, pre-pregnancy preparation and postpartum thyroiditis.

Assoc. Prof. Dr. İbrahim DemirciLast reviewed: 19 October 2026

Pregnancy brings rapid hormonal changes that can unmask or alter endocrine disorders. Close cooperation between the endocrinologist and obstetrician protects both mother and baby.

Dr. Demirci co-authored a 2025 study on risk factors for gestational transient thyrotoxicosis and its effects on pregnancy outcomes (Archives of Endocrinology and Metabolism).

Thyroid Disease in Pregnancy

The baby's brain development depends on maternal thyroid hormone in early pregnancy. Levothyroxine doses should be optimised before conception and increased promptly once pregnancy is confirmed. Gestational transient thyrotoxicosis must be distinguished from Graves' disease.

Gestational Diabetes

Usually detected with an oral glucose tolerance test at 24–28 weeks. Treatment starts with nutrition and home glucose monitoring; insulin is added if targets are not met. Glucose testing should be repeated 4–12 weeks after delivery because future type 2 diabetes risk is increased.

Pregnancy and Endocrine Diseases
Pregnancy and Endocrine Diseases

Other Conditions

Pre-pregnancy planning in diabetes, prolactinoma in pregnancy, postpartum thyroiditis, Sheehan's syndrome and PCOS.

Frequently asked questions

Is thyroid medication safe in pregnancy?

Yes. Levothyroxine is identical to the body's own hormone; untreated deficiency is the real risk.

Does gestational diabetes go away after birth?

Usually yes, but the long-term risk of type 2 diabetes is higher, so regular screening is needed.

Assoc. Prof. Dr. İbrahim Demirci
Written and medically reviewed byAssoc. Prof. Dr. İbrahim DemirciInternal Medicine, Endocrinology and Metabolism · Güven Hospital, Ankara

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