A 27-year-old woman with newly diagnosed Graves disease has symptomatic thyrotoxicosis and a diffuse goitre. She wishes to conceive within the next 1-...

Question

A 27-year-old woman with newly diagnosed Graves disease has symptomatic thyrotoxicosis and a diffuse goitre. She wishes to conceive within the next 1-2 years. Which initial treatment strategy is most appropriate?

Accepted Answer

Start an anti-thyroid drug such as methimazole and reassess before pregnancy

Answer

Radioactive iodine ablation as first-line

Answer

Total thyroidectomy as first-line

Answer

No treatment until after pregnancy

Answer

Beta-blocker monotherapy without addressing thyroid hormone excess

ca-mccqe1 MCQ (SBA): Graves hyperthyroidism in women of child-bearing age

A 27-year-old woman with newly diagnosed Graves disease has symptomatic thyrotoxicosis and a diffuse goitre. She wishes to conceive within the next 1-2 years. Which initial treatment strategy is most appropriate?