Question

A 28-year-old woman with Graves disease is planning pregnancy within the next year. She is currently euthyroid on carbimazole. According to endocrine guidelines, which is the most appropriate strategy regarding her antithyroid therapy before conception?

Accepted Answer

Switch from carbimazole to propylthiouracil before conception

Answer

Continue carbimazole throughout pregnancy without change

Answer

Stop antithyroid drugs immediately and proceed with pregnancy

Answer

Arrange radioactive iodine ablation now and attempt conception in 2 weeks

Answer

Increase carbimazole dose to suppress TSH completely before conceiving

Practice question

A 28-year-old woman with Graves disease is planning pregnancy within the next year. She is currently euthyroid on carbimazole. According to endocrine guidelines, which is the most appropriate strategy regarding her antithyroid therapy before conception?