Tan Jian, Yang Yu Ying, Yin De Ying, Xin Qun, Ge Xian Cai
Department of Medical Genetics, Naval Medical University, Shanghai, China.
Department of General Surgery, The Navy 971 Hospital of the People's Liberation Army, Qingdao, China.
J Clin Med Res. 2025 Aug 31;17(8):409-422. doi: 10.14740/jocmr6315. eCollection 2025 Aug.
Infertility, characterized by the failure to achieve clinical pregnancy after 12 months or more of regular unprotected sexual intercourse, has emerged as a substantial global reproductive health challenge. According to recent epidemiological studies, this condition affects approximately 15-20% of couples within the reproductive age group worldwide. Notably, thyroid dysfunction has been identified as a significant contributing factor, being present in 5-10% of infertile couples. Although the well-established association between thyroid dysfunction and human infertility has been extensively documented in the literature, the precise underlying mechanisms remain incompletely understood and continue to be a subject of ongoing scientific investigation. In this review, we comprehensively examine the current literature regarding the impact of abnormal thyroid function on reproductive health and explore potential therapeutic interventions for thyroid dysfunction-associated infertility. This analysis aims to identify promising research directions and advance treatment strategies for managing infertility related to thyroid disorders.
不孕症是指在规律无保护性交12个月或更长时间后仍未实现临床妊娠,已成为全球重大的生殖健康挑战。根据最近的流行病学研究,这种情况影响着全球约15%至20%的育龄夫妇。值得注意的是,甲状腺功能障碍已被确定为一个重要的促成因素,在5%至10%的不孕夫妇中存在。尽管甲状腺功能障碍与人类不孕症之间已确立的关联在文献中已有广泛记载,但确切的潜在机制仍未完全了解,仍是当前科学研究的主题。在本综述中,我们全面审视了有关甲状腺功能异常对生殖健康影响的当前文献,并探讨了针对甲状腺功能障碍相关不孕症的潜在治疗干预措施。该分析旨在确定有前景的研究方向,并推进甲状腺疾病相关不孕症的治疗策略。