甲状腺是人体重要的内分泌器官,其功能亢进或减退均会影响女性生育能力。甲状腺功能异常可影响女性血清促性腺激素和性激素水平。甲状腺激素可直接作用于卵巢,其过多或过少均可影响卵泡发育,损害卵巢储备力。甲状腺激素对输卵管功能的影响尚不明确。已有证据显示甲状腺激素可直接参与调节子宫内膜生理功能,影响子宫内膜容受性。甲状腺疾病可能影响宫腔对妊娠的承受能力,增加产科并发症和不良妊娠结局的发生。 Thyroid is an important endocrine organ of the human body, its function hyperthyroidism or decline will affect the female fertility. Thyroid dysfunction can affect female serum gonadotropin and sex hormone levels. Thyroid hormone can act directly on the ovary, its excessive or too little can affect follicular development, damage to ovarian reserve. The effect of thyroid hormones on tubal function is not clear. There is evidence that thyroid hormones can directly participate in the regulation of endometrial physiological function, affecting endometrial receptivity. Thyroid disease may affect the uterus to withstand the pregnancy, increasing the incidence of obstetric complications and adverse pregnancy outcomes.