甲状腺功能亢进与减退与不育（Hyperthyroidism and hypothyroidism and infertility）.docVIP

甲状腺功能亢进与减退与不育（Hyperthyroidism and hypothyroidism and infertility） Hyperthyroidism Hyperthyroidism is more common in women, men and women ratio of about 1:4 to 6, 20~40 years old incidence of the most common. The typical clinical manifestations can be divided into three aspects: high metabolism, goiter and eye diseases, but the clinical manifestations and the severity of the disease vary greatly among different patients. T3 and T4 can cause excessive secretion, accelerate the oxidation of human tissue, causing a series of metabolic disorder of sugar, protein, fat, water dielectric, calcium and zinc and iodine and vitamin, caused by the change of various organs including the reproductive system, the function of the human body. Can be seen in the reproductive system: loss of libido, impotence, occasionally accompanied by male breast development, caused the increase of PRL and estrogen levels in male reproductive ability, some patients can cause infertility. [clinical manifestations] Because of hypermetabolism, patients may be afraid of heat, sweating, skin is warm and moist; nervous system performance: excitement, nervousness, irritability, insomnia, restless multilingual, distracted, anxiety and irritability; cardiovascular system: palpitation, shortness of breath, arrhythmia, increased pulse pressure for a long time, the expansion of the heart, or even hyperthyroidism heart disease, resulting in heart failure; digestive system manifestations: increased appetite hyperthyroidism, easy to hunger, appetite, increase intestinal peristalsis due to diarrhea, is indigestion diarrhea; eye can be expressed as: invasive or non infiltrative exophthalmos; thyroid can showed different degrees of diffuse symmetrical enlargement, soft, moving with swallowing; mainly in the male reproductive system: loss of libido, impotence, occasionally accompanied by male breast development, some patients can cause infertility. [laboratory test] 1. total serum T3 and elevated T4, T3 resin uptake t