TSH levels in pregnancy and links to mood, anxiety, and sexual function

Evaluation of the Effects of Thyroid-Stimulating Hormone (TSH) Levels in Pregnancy on Depression, Anxiety, and Sexual Function

Observational Gaziosmanpasa Research and Education Hospital · NCT07272213

This project will see if TSH levels during pregnancy are linked to depression, anxiety, sexual function, and overall quality of life in pregnant women aged 18–45.

Quick facts

Study typeObservational
Enrollment180 (estimated)
Ages18 Years to 45 Years
SexFemale
SponsorGaziosmanpasa Research and Education Hospital Government
Locations1 site (Istanbul, Gaziosmanpaşa)
Trial IDNCT07272213 on ClinicalTrials.gov

What this trial studies

This prospective, single-center, observational cross-sectional project collects maternal blood TSH measurements and psychometric scores during routine prenatal visits. Participants complete the Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Arizona Sexual Experience Scale (ASEX), and the YKK-13 Quality of Life Scale and must have a TSH result from the past four weeks. Eligible women are aged 18–45 with a singleton pregnancy of at least six weeks, and those with prior psychiatric diagnoses, current thyroid treatment, multiple gestation, or major systemic disease are excluded. Data analysis will determine whether maternal TSH levels are associated with scores for depression, anxiety, sexual function, and overall quality of life.

Who should consider this trial

Good fit: Pregnant women aged 18–45 with a singleton pregnancy of ≥6 weeks who can read and consent and who have a TSH result within the past four weeks are ideal candidates.

Not a fit: People with prior psychiatric disorders, current thyroid disease or treatment, multiple pregnancies, or major systemic illnesses are excluded and would not benefit from this study's findings.

Why it matters

Potential benefit: If a link is found, TSH screening could help identify pregnant individuals at higher risk of depression, anxiety, or sexual dysfunction so clinicians can monitor or refer them earlier.

How similar studies have performed: Prior research has reported links between thyroid dysfunction and mood or anxiety symptoms, but results are mixed and cross-sectional studies like this one are exploratory rather than definitive.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

Pregnant women aged 18-45 years

Singleton pregnancy

Gestational age ≥ 6 weeks

Literacy and ability to provide informed consent

Availability of a TSH result obtained within the past 4 weeks

Cognitive ability sufficient to complete the psychometric questionnaires (Beck Depression Inventory, Beck Anxiety Inventory, ASEX, and YKK-13 Quality of Life Scale)

Exclusion Criteria:

Multiple pregnancy

Previously diagnosed psychiatric disorder or active use of antidepressant/ anxiolytic medication

Current treatment for thyroid disease

History of thyroid surgery

Major systemic illness or significant obstetric complications

Age under 18 years or inability to provide informed consent

Inability to complete the questionnaires adequately (missing or invalid data)

Rationale:

Multiple pregnancies are excluded because they differ significantly from singleton pregnancies in terms of hormonal profile, obstetric risks, and psychological stress levels. This exclusion aims to ensure a homogeneous study population.

Where this trial is running

Istanbul, Gaziosmanpaşa

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Thyroid Disorders Complicating PregnancyMaternal Depression in Pregnancy, Unspecified TrimesterAnxiety Disorder, UnspecifiedSexual Dysfunction, UnspecifiedThyroid disorders complicating pregnancyMaternal depression in pregnancy, unspecified trimesterAnxiety disorder, unspecifiedSexual dysfunction, unspecified
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.