I get many calls from women who are thalassemia minor. They feel they can’t have a baby because their body makes less hemoglobin than normal which can lead to complications. Yes, fertility can be a challenge sometimes. The reason is that in Thalassemia, your Gastrointestinal tract increases its absorption of iron from food, leading to excess iron in the body which affects parts of the body like your pituitary gland and hypothalamus which control your hormones. This can impact your ability to ovulate or have a period. BUT, pregnancy is certainly possible.
Here’s what you need to ensure if you’re planning a baby: 1st monitor iron levels carefully. If iron levels rise, you can bring it down by using a smart diet and via dietary supplements. 2nd ensure you regularly do standard female fertility tests like LH, FSH, and estradiol.3rd Test thyroid hormones free T4 & TSH, your ACTH hormone, and cortisol to check if the hypothalamus & pituitary axis are affected. Also test prolactin levels. Finally, work with a good healthcare practitioner who understands & can help you with all of this.