Question

A 30-year-old woman with Graves disease is planning pregnancy in the next year. She is currently euthyroid on carbimazole. What is the most appropriate advice regarding her antithyroid therapy?

Accepted Answer

Switch to propylthiouracil before conception and in the first trimester, then consider switching back

Answer

Continue carbimazole throughout pregnancy without change

Answer

Stop all antithyroid medication immediately

Answer

Start radioactive iodine ablation in the first trimester

Answer

Advise that pregnancy is contraindicated until after menopause

Practice question

A 30-year-old woman with Graves disease is planning pregnancy in the next year. She is currently euthyroid on carbimazole. What is the most appropriate advice regarding her antithyroid therapy?