Candid Patient Reviews of
Dr. Eric Daiter

Click here for more video reviews

How Can I help You?

Dr Eric Daiter has served Monmouth and Middlesex Counties of New Jersey as an infertility expert for the past 20 years. Dr. Daiter is happy to offer second opinions (at the office or over the telephone) or new patient appointments. It is easy, just call us at 908 226 0250 to set up an appointment (leave a message with your name and number if we are unable to get to the phone and someone will call you back).


"I always try to be available for my patients since I do understand the pain and frustration associated with fertility problems or endometriosis."


"I understand that the economy is very tough and insurance companies do not cover a lot of the services that might help you. I always try to minimize your out of pocket cost while encouraging the most successful and effective treatments available."

NJ Center for Fertility and Reproductive Medicine - Infertility Tutorials

Treating Ovulatory Dysfunction: Hypothryoidism
Hypothyroidism is treated by replacing the deficient thyroid hormone.

Synthroid (a synthetic thyroxine compound) is the most common and usually the best treatment. It allows a woman to convert circulating T4 (thyroxine) to the more active metabolite thyronine (T3) within the cells of the body.

Desiccated thyroid extract differs from thyroxine compounds since it also contains thyronine (T3). The amount of T3 in the extract is greater than that normally secreted by the thyroid gland so these medications can be counterproductive in terms of treatment for ovulatory dysfunction.

Synthroid is typically started at a low dose (25-50 mcg per day). The dose of medication is adjusted as needed according to bloodwork obtained 4-8 weeks after a change in dose. The final dose required is dependent on the initial degree of hypothyroidism.

Once stabilized (euthyroid) on medication a sensitive TSH assay should be checked regularly (typically at least once a year) for all infertility patients. Testing is more often if the women has had recent onset thyroiditis since her own thyroid function may continue to deteriorate with the progression of thyroiditis.

Overtreating a patient with hypothyroidism or providing thyroid hormone replacement empirically for a euthyroid patient is potentially harmful. Hyperthyroidism (even if through overtreatment with medication) is associated with osteoporosis (decreased bone mineral content). Thyroid hormone stimulates bone resorption to decrease overall bone mineral content. The mechanism for the increased bone resorption appears to involve direct effects of thyroid hormone on the bone as well as effects involving vitamin D, calcitonin and parathyroid hormone.

Hypothyroidism in pregnancy should be treated with medication. Careful monitoring with monthly TSH concentrations for the first trimester and every few months thereafter is recommended (often increased medication is required due to increased circulating blood volume in pregnancy). Hypothyroidism in pregnancy has been associated with preeclampsia, intrauterine growth retardation and possibly spontaneous abortions (miscarriages).


| About this web page | Basic Infertility | Ovulation | The Sperm | Pelvic Factor |

Eric Daiter, M.D. - Edison, NJ - E-Mail: - Phone: (908)226-0250

Design & Hosting by BLAZE inter.NET