Fertility is regulated by the endocrine system (hypothalamus-pituitary [hypophysis] – gonadal connection), such that a large part of the alterations in fertility are due to endocrine malfunctions. The normal progress of pregnancy can be affected by endocrine and metabolic problems (thyroid pathology, diabetes). These endocrine problems can be treated to restore fertility and achieve normal progress in gestation.
Endocrine illnesses (and especially thyroid pathology) and metabolic illnesses (obesity, diabetes, hypercholesterolemia, high blood pressure, alterations in eating habits) are currently the most frequent, though they can be prevented with healthy diets (low in saturated fats, balanced in macro- and micro-nutrients) and treated when they are present (modifying the lifestyle and with pharmacological treatment if necessary), due to the high cardiovascular mortality and decrease in quality of life that are conditioned by its presence.
The Endocrinology Unit will attend patients with the following pathologies:
- Endocrine pathology (hypothalamus-pituitary, gonads, polycystic ovary syndrome, suprarenal, hyperandrogenisms).
- Thyroid pathology: Euthyroid goitre, autoimmune thyroid illness, hypothyroidism, hyperthyroidism, thyroid nodules, postpartum painless subacute thyroiditis, thyroid malfunction that causes alterations in fertility and/or repeated abortions, evaluation of iodine consumption.
- Metabolic pathology (high blood pressure, hypercholesterolemia, metabolic syndrome associated with various metabolic problems and which gives rise to a high cardiovascular risk)
- Alterations in a hydrocarbonated metabolism: diabetes types 1 and 2, gestational diabetes, secondary diabetes, studies of hydrocarbonated metabolism after the existence of gestational diabetes, insulin resistance situations.
- Nutritional pathology: Due to excess (infantile-juvenile obesity, obesity, morbid (extreme) obesity, or due to lack (malnutrition due to alterations in eating habits), modifying the lifestyle with nutritional advice (with a prior evaluation of the nutritional state and surveys on food consumption).