When it comes to surrogacy, a vital aspect is understanding
the potential impact of a surrogate’s health conditions on the pregnancy
process. One of these conditions that often raises questions is Hashimoto’s
disease, an autoimmune disorder that affects the thyroid gland. With this in
mind, we’ll explore the topic and answer the key question: is it safe to work
with a surrogate who has Hashimoto’s?

Understanding Hashimoto's Disease and Its Role in Pregnancy
Hashimoto’s disease causes inflammation of the thyroid gland, which can lead to hypothyroidism, a condition where the thyroid doesn’t produce enough hormones. The thyroid plays a crucial role in many bodily functions, including reproduction. This connection underpins the concerns about a woman with Hashimoto’s serving as a surrogate.
The Potential of Surrogacy with Hashimoto's Disease
The good news is that Hashimoto’s disease doesn’t automatically disqualify a woman from becoming a surrogate. Research, as well as anecdotal evidence from women who have Hashimoto’s, points out that approximately 50% of women with this condition have no issue carrying a pregnancy, while the other 50% might encounter difficulties. This suggests that many women with Hashimoto’s have successfully carried pregnancies and participated in surrogacy journeys.

Managing Hashimoto's Disease During a Surrogacy Journey
Ensuring the proper management of Hashimoto’s disease is a key factor in a successful and safe surrogacy journey. Many health professionals recommend that women with Hashimoto’s aim to maintain a Thyroid-Stimulating Hormone (TSH) level under 2.5 during medical screening. To achieve these optimal TSH levels, doctors might adjust thyroid medication dosages, particularly during pregnancy.
Continuous medical monitoring is essential for surrogates with Hashimoto’s. Regular checks of thyroid levels during pregnancy can flag any potential issues, allowing for immediate medication adjustments if needed.
Hashimoto's Disease and Fertility Clinic Policies
It’s important to note that fertility clinics’ policies on accepting surrogates with Hashimoto’s disease can vary. Some clinics are comfortable working with women who have well-controlled Hashimoto’s, while others might be more cautious due to potential risks associated with the condition.
