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.

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.
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