{"id":12029,"date":"2021-04-16T17:53:52","date_gmt":"2021-04-16T22:53:52","guid":{"rendered":"https:\/\/naturalwomanhood.org\/?p=12029"},"modified":"2024-05-20T14:35:54","modified_gmt":"2024-05-20T19:35:54","slug":"disfunciones-tiroideas-hipotiroidismo-y-fertilidad","status":"publish","type":"post","link":"https:\/\/naturalwomanhood.org\/es\/thyroid-dysfunctions-hypothyroidism-and-your-fertility\/","title":{"rendered":"Disfunciones tiroideas y su fertilidad: c\u00f3mo los FAM pueden ayudarle a llegar al fondo del hipotiroidismo"},"content":{"rendered":"

PARTE I <\/span><\/h3>\n\n\n\n

Algunas mujeres viven con fatiga constante, ciclos muy irregulares e insomnio, pero nunca se les dice que la disfunci\u00f3n tiroidea podr\u00eda ser la causa de sus problemas. Sin embargo, se calcula que 20 millones de estadounidenses padecen alg\u00fan tipo de enfermedad tiroidea; una de cada ocho mujeres desarrollar\u00e1 un trastorno tiroideo a lo largo de su vida. <\/p>\n\n\n\n

Hasta el 90% del hipotiroidismo es subcl\u00ednico, lo que significa que el nivel de hormona estimulante del tiroides que se encuentra en la sangre es normal, y a menudo se pasa por alto el diagn\u00f3stico. Estar atento a los s\u00edntomas de la disfunci\u00f3n tiroidea, adem\u00e1s de saber c\u00f3mo interpretar el gr\u00e1fico del M\u00e9todo de Conocimiento de la Fertilidad (FAM), puede ayudar a diagnosticar esta enfermedad tan dif\u00edcil de detectar y, si se detecta a tiempo, a encontrar un tratamiento eficaz. <\/p>\n\n\n\n

Este es el primer art\u00edculo de una serie de tres partes para Natural Womanhood dedicada a la disfunci\u00f3n tiroidea, y su relaci\u00f3n con la fertilidad. En este art\u00edculo, espero explicar la fisiolog\u00eda de la tiroides, los signos y s\u00edntomas de la disfunci\u00f3n tiroidea, y los laboratorios de diagn\u00f3stico que buscan la causa ra\u00edz de la disfunci\u00f3n tiroidea. En la segunda parte, explicar\u00e9 el tratamiento no s\u00f3lo del hipotiroidismo, sino tambi\u00e9n de sus causas fundamentales. En la tercera parte, profundizaremos en la tiroiditis de Hashismoto, una enfermedad autoinmune que es la causa m\u00e1s com\u00fan de disfunci\u00f3n tiroidea en mujeres j\u00f3venes. <\/p>\n\n\n\n

Mi objetivo al escribir esta serie es que usted se sienta capacitado para conocer mejor su cuerpo, y para tener confianza en hablar con su proveedor m\u00e9dico con el fin de obtener las pruebas necesarias y el tratamiento para curar la disfunci\u00f3n tiroidea. <\/p>\n\n\n\n

Ahora, sin m\u00e1s pre\u00e1mbulos, empecemos con un curso intensivo de fisiolog\u00eda tiroidea...  <\/p>\n\n\n\n

Las hormonas tiroideas y sus funciones <\/span><\/h2>\n\n\n\n

En primer lugar, la hormona estimulante del tiroides (TSH) procedente de la hip\u00f3fisis (en el cerebro) env\u00eda una se\u00f1al a la gl\u00e1ndula tiroides (en la parte anterior del cuello) para que produzca principalmente tiroxina (T4) y un poco de triyodotironina (T3). La T4 no es una hormona utilizable, por lo que debe convertirse en T3 en el h\u00edgado y los intestinos. A continuaci\u00f3n, la T3 se une a prote\u00ednas y se distribuye por todo el organismo para activar y mantener numerosas funciones. <\/p>\n\n\n\n

Tambi\u00e9n existe una hormona \"de parada\" llamada T3 inversa. La T3 inversa detiene la transferencia de T4 a T3 cuando el cuerpo tiene suficiente T3 para funcionar. Esto permite almacenar un suministro de T4 en caso de necesidad (estr\u00e9s elevado, enfermedad o lesi\u00f3n). Por \u00faltimo, una cantidad baja de T3 y T4 en el cuerpo desencadenar\u00e1 la hormona liberadora de tirotropina (TRH) en el hipot\u00e1lamo (en su cerebro) para decirle a la gl\u00e1ndula pituitaria que libere TSH, y el ciclo contin\u00faa. <\/p>\n\n\n\n

Las funciones que estas hormonas tiroideas desempe\u00f1an en el organismo son bastante amplias. Las hormonas tiroideas intervienen en: la regulaci\u00f3n de la frecuencia cardiaca y el gasto cardiaco, la regulaci\u00f3n de la frecuencia respiratoria y la oxigenaci\u00f3n, la regulaci\u00f3n de la temperatura, la contracci\u00f3n muscular, la estabilizaci\u00f3n del estado de \u00e1nimo, el metabolismo de los alimentos, la regulaci\u00f3n de los niveles de colesterol, la regulaci\u00f3n del crecimiento de la piel, el cabello y las u\u00f1as, y la regulaci\u00f3n de los movimientos intestinales. Adem\u00e1s, las hormonas tiroideas influyen en las hormonas sexuales que regulan la ovulaci\u00f3n y la menstruaci\u00f3n. Las hormonas tiroideas tambi\u00e9n trabajan junto con la gl\u00e1ndula suprarrenal para apoyar la respuesta inmunitaria y mantener los neurotransmisores para proporcionar energ\u00eda.<\/p>\n\n\n\n

S\u00edntomas de baja funci\u00f3n tiroidea, tambi\u00e9n conocida como tiroides hipoactiva o hipotiroidismo <\/span><\/h2>\n\n\n\n

El hecho de que las hormonas tiroideas tengan un impacto tan amplio en todo el organismo explica por qu\u00e9 los signos y s\u00edntomas de una funci\u00f3n tiroidea baja (hipotiroidismo) son tan variados. Los innumerables s\u00edntomas del hipotiroidismo pueden incluir: fatiga, debilidad muscular, largo tiempo de recuperaci\u00f3n tras el ejercicio, necesidad de dormir m\u00e1s que la mayor\u00eda, insomnio, depresi\u00f3n, s\u00edndrome premenstrual (que no mejora tras un ensayo de sustituci\u00f3n de progesterona), ansiedad, sensaci\u00f3n de fr\u00edo, reflujo \u00e1cido o acidez, falta de apetito (especialmente por la ma\u00f1ana), estre\u00f1imiento, cejas finas (especialmente el tercio exterior), piel seca, acn\u00e9, ojos secos, dolores de cabeza o migra\u00f1as, cara, dedos o pies hinchados, u\u00f1as que se rompen o pelan con facilidad, pelo ralo, pesta\u00f1as escasas, cabeza nublada, incapacidad para concentrarse, mala memoria, dificultad para perder peso, menstruaciones abundantes y\/o irregulares, y mala funci\u00f3n inmunitaria\/enfermar con frecuencia. <\/p>\n\n\n\n

Los signos biol\u00f3gicos mensurables del hipotiroidismo pueden ser: temperatura corporal baja, frecuencia cardiaca en reposo lenta, LDL (colesterol malo) elevado y HDL (colesterol bueno) bajo.<\/p>\n\n\n\n

Si una mujer presenta varios de estos signos o s\u00edntomas, es posible que tenga una funci\u00f3n tiroidea baja.  <\/p>\n\n\n\n

Detecci\u00f3n de signos de hipotiroidismo en la tabla de fertilidad<\/span><\/h2>\n\n\n\n

Utilizar el M\u00e9todo de Conocimiento de la Fertilidad (FAM) para trazar su ciclo de fertilidad puede ser muy \u00fatil para identificar un trastorno tiroideo. El seguimiento con un FAM ayuda a la mujer a identificar la fecha aproximada de la ovulaci\u00f3n, y los trastornos tiroideos pueden \"aparecer\" en un gr\u00e1fico de forma reveladora en relaci\u00f3n con la ovulaci\u00f3n.   <\/p>\n\n\n\n

Por ejemplo, la fase folicular (que abarca desde el primer d\u00eda del ciclo hasta la ovulaci\u00f3n) debe durar aproximadamente entre 11 y 23 d\u00edas. Mientras que la duraci\u00f3n de la fase folicular puede variar de un ciclo a otro, la duraci\u00f3n de la fase l\u00fatea (que es el tiempo que transcurre entre la ovulaci\u00f3n y el inicio del siguiente periodo) deber\u00eda ser casi constante de un mes a otro (la duraci\u00f3n media de la fase l\u00fatea es de 11-17 d\u00edas).  <\/p>\n\n\n\n

El hipotiroidismo puede manifestarse con una fase folicular larga y una fase l\u00fatea variable. Una mujer con una funci\u00f3n tiroidea hipoactiva tambi\u00e9n puede notar una menstruaci\u00f3n abundante y un sangrado marr\u00f3n al final de la regla (que dura m\u00e1s de 2 d\u00edas). Adem\u00e1s, si lleva un registro de las temperaturas, observar\u00e1 que son constantemente bajas, incluso despu\u00e9s de la ovulaci\u00f3n o durante la fase l\u00fatea, que se supone que muestra un aumento de la temperatura debido a la presencia de progesterona.   <\/p>\n\n\n\n

C\u00f3mo se diagnostica el hipotiroidismo (y la tiroiditis de Hashimoto)<\/span><\/h2>\n\n\n\n

Si se sospecha de hipotiroidismo debido a estos signos y s\u00edntomas, es hora de pedir a un m\u00e9dico un an\u00e1lisis de laboratorio completo para determinar la causa de los s\u00edntomas.<\/p>\n\n\n\n

Un panel tiroideo completo incluye pruebas para determinar los niveles de TSH, T4 libre y total, T3 libre y total, T3 inversa y anticuerpos tiroideos en sangre. Los dos anticuerpos que pueden afectar a su gl\u00e1ndula tiroides se denominan Anti-TPO (Anticuerpos Anti-Tiroides Peroxidasa) y TgAb (Anticuerpos Anti-Tiroglobulina). Estos anticuerpos atacan a la gl\u00e1ndula tiroides, haci\u00e9ndola menos eficaz en el desempe\u00f1o de su trabajo. <\/p>\n\n\n\n

Una prueba positiva para estos anticuerpos arroja el diagn\u00f3stico de tiroiditis de Hashimoto, que es una condici\u00f3n que debe ser tratada si los otros laboratorios de tiroides son normales o no, para evitar un mayor da\u00f1o a la tiroides. (Nota: Estaremos tomando una inmersi\u00f3n m\u00e1s profunda en Hashimoto en la tercera parte de esta serie sobre la disfunci\u00f3n tiroidea). <\/p>\n\n\n\n

Si se diagnostica hipotiroidismo o tiroiditis de Hashimoto, el trabajo del m\u00e9dico no ha terminado. Como m\u00e9dico, creo que no es suficiente dar a un paciente un diagn\u00f3stico y simplemente controlar sus s\u00edntomas. Soy un firme creyente de que la fuente de la disfunci\u00f3n tiroidea debe ser encontrada y tratada con el fin de restaurar la salud de un paciente.  <\/p>\n\n\n\n

Similitudes en la prescripci\u00f3n de anticonceptivos y Levotiroxina (T4)<\/span><\/h2>\n\n\n\n

Creo que los anticonceptivos son una grave injusticia para las mujeres porque simplemente enmascaran los s\u00edntomas de trastornos como la endometriosis, el s\u00edndrome premenstrual y el s\u00edndrome de ovario poliqu\u00edstico, en lugar de tratar el trastorno subyacente. La levotiroxina (T4) puede utilizarse del mismo modo para enmascarar los s\u00edntomas del trastorno tiroideo, en lugar de tratar realmente la causa fundamental de la disfunci\u00f3n. Si nos limitamos a sustituir las hormonas tiroideas sin buscar y tratar el trastorno subyacente, s\u00f3lo conseguiremos aumentar a\u00fan m\u00e1s la disfunci\u00f3n.<\/p>\n\n\n\n

Con el fin de diagnosticar la causa ra\u00edz de la disfunci\u00f3n tiroidea, los laboratorios adicionales podr\u00edan ser muy \u00fatiles: Cortisol salival y DHEA en 24 horas y DHEA-S en suero (para la funci\u00f3n suprarrenal), Panel Metab\u00f3lico Completo (incluyendo la funci\u00f3n hep\u00e1tica), Hemograma Completo (CBC para la anemia), hierro y ferritina, B-12, zinc, vit D 25-OH, selenio, yodo (orina de la primera ma\u00f1ana), prolactina, FSH y LH, Globulina Fijadora de Hormonas Sexuales (SHBG), estr\u00f3geno del d\u00eda 3 del ciclo, y estr\u00f3geno y progesterona de 7 d\u00edas post-ovulaci\u00f3n. Adem\u00e1s, es necesario realizar una ecograf\u00eda si hay un agrandamiento o n\u00f3dulo tiroideo. <\/p>\n\n\n\n

Si alguno de los s\u00edntomas descritos en este art\u00edculo le resulta familiar, merece la pena que consulte a su m\u00e9dico. Tambi\u00e9n es una buena idea empezar a anotar sus ciclos, ya que la informaci\u00f3n contenida en un gr\u00e1fico de ciclos puede ser una herramienta valiosa para ayudar a detectar una posible disfunci\u00f3n tiroidea.  <\/p>\n\n\n\n

En la segunda parte de este art\u00edculo, explicar\u00e9 el tratamiento del hipotiroidismo. \u00a1Est\u00e9n atentos! <\/p>\n\n\n\n

Haga clic en aqu\u00ed<\/a> para leer la Parte II de nuestra serie sobre disfunci\u00f3n tiroidea, \"M\u00e1s all\u00e1 del Synthroid: En busca de un tratamiento completo para el hipotiroidismo\".<\/em><\/strong><\/p>","protected":false},"excerpt":{"rendered":"PARTE I Algunas mujeres viven con fatiga constante, ciclos muy irregulares e insomnio, pero nunca se...","protected":false},"author":57,"featured_media":12031,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","csco_singular_sidebar":"","csco_page_header_type":"","csco_page_load_nextpost":"","csco_post_video_location":[],"csco_post_video_url":"","csco_post_video_bg_start_time":0,"csco_post_video_bg_end_time":0,"footnotes":""},"categories":[5366,5181],"tags":[5929,6294,5417],"class_list":{"0":"post-12029","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-hormone-imbalance","8":"category-reproductive-and-menstrual-disorders","9":"tag-health-benefits-of-charting","10":"tag-hormone-balance","11":"tag-reproductive-and-menstrual-disorders","12":"cs-entry","13":"cs-video-wrap"},"acf":[],"yoast_head":"\nHypothyroidism and Your Fertility - Natural Womanhood<\/title>\n<meta name=\"description\" content=\"This is Part 1 in a 3-part series dedicated to the detection, diagnosis, and treatment of hypothyroidism, and how it impacts fertility.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/naturalwomanhood.org\/es\/disfunciones-tiroideas-hipotiroidismo-y-fertilidad\/\" \/>\n<meta property=\"og:locale\" content=\"es_MX\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Thyroid Dysfunctions and Your Fertility: How FAMs Can Help You Get to the Bottom of Hypothyroidism\" \/>\n<meta property=\"og:description\" content=\"PART I  Some women live with constant fatigue, very irregular cycles, and insomnia, but are never told that thyroid dysfunction could possibly be the\" \/>\n<meta property=\"og:url\" content=\"https:\/\/naturalwomanhood.org\/es\/disfunciones-tiroideas-hipotiroidismo-y-fertilidad\/\" \/>\n<meta property=\"og:site_name\" content=\"Natural Womanhood\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/NaturalWomanhood\" \/>\n<meta property=\"article:author\" content=\"https:\/\/www.facebook.com\/revivefertilitycare\/\" \/>\n<meta property=\"article:published_time\" content=\"2021-04-16T22:53:52+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-05-20T19:35:54+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/naturalwomanhood.org\/wp-content\/uploads\/AdobeStock_277239493-scaled.jpeg\" \/>\n\t<meta property=\"og:image:width\" content=\"2560\" \/>\n\t<meta property=\"og:image:height\" content=\"1707\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Allison Jung, PA\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@naturwomanhood\" \/>\n<meta name=\"twitter:site\" content=\"@naturwomanhood\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Allison Jung, PA\" \/>\n\t<meta name=\"twitter:label2\" content=\"Tiempo de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"6 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/naturalwomanhood.org\\\/thyroid-dysfunctions-hypothyroidism-and-your-fertility\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/naturalwomanhood.org\\\/thyroid-dysfunctions-hypothyroidism-and-your-fertility\\\/\"},\"author\":{\"name\":\"Allison Jung, PA\",\"@id\":\"https:\\\/\\\/naturalwomanhood.org\\\/#\\\/schema\\\/person\\\/a3c4762245e64612aba244f133922c91\"},\"headline\":\"Thyroid Dysfunctions and Your Fertility: How FAMs Can Help You Get to the Bottom of Hypothyroidism\",\"datePublished\":\"2021-04-16T22:53:52+00:00\",\"dateModified\":\"2024-05-20T19:35:54+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/naturalwomanhood.org\\\/thyroid-dysfunctions-hypothyroidism-and-your-fertility\\\/\"},\"wordCount\":1559,\"commentCount\":1,\"publisher\":{\"@id\":\"https:\\\/\\\/naturalwomanhood.org\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/naturalwomanhood.org\\\/thyroid-dysfunctions-hypothyroidism-and-your-fertility\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/naturalwomanhood.org\\\/wp-content\\\/uploads\\\/AdobeStock_277239493-scaled.jpeg\",\"keywords\":[\"health benefits of charting\",\"hormone balance\",\"Reproductive and Menstrual Disorders\"],\"articleSection\":[\"Hormone Imbalance\",\"Reproductive and Menstrual Health Issues\"],\"inLanguage\":\"es\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/naturalwomanhood.org\\\/thyroid-dysfunctions-hypothyroidism-and-your-fertility\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/naturalwomanhood.org\\\/thyroid-dysfunctions-hypothyroidism-and-your-fertility\\\/\",\"url\":\"https:\\\/\\\/naturalwomanhood.org\\\/thyroid-dysfunctions-hypothyroidism-and-your-fertility\\\/\",\"name\":\"Hypothyroidism and Your Fertility - 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Allison is also a health educator and has taught the Creighton Models System for almost 6 years. Through her own story of PCOS and infertility, Allison found the validity in a holistic approach to healthcare\u2014searching for the causes of symptoms, instead of the routine treatment of covering up symptoms with artificial hormones, painkillers, or anti-depressants. Allison loves working with women with symptoms of irregular cycles, painful periods or PMS who have been told that birth control is their only answer, and showing them not only the reasons behind their symptoms, but curing them often with natural means. 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