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Journal : Medical Journal of Indonesia

Reproductive function after radioactive iodine treatment for differentiated thyroid carcinoma patients: a systematic review Elliyanti, Aisyah; Aziza, Zulva; Kurniawati, Yulia; Khambri, Daan; Amir, Arni; Katar, Yusticia
Medical Journal of Indonesia Vol. 34 No. 1 (2025): March
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13181/mji.oa.257458

Abstract

BACKGROUND Thyroid cancer is one of the most prevalent cancers in the endocrine system, with a rapidly rising incidence over the past 3 decades. Treatment for patients with differentiated thyroid cancer (DTC) typically includes surgery, radioactive iodine (I-131) therapy, and levothyroxine (L-T4) suppressive therapy. This study aimed to explore the potential side effects of I-131 therapy on reproductive function in men and women with DTC. METHODS A literature search was performed using 4 databases (PubMed, ScienceDirect, BioMed Central, and Google Scholar), limited to English publications since 2013. Clinical trials and observational studies that evaluated I-131 in DTC, focused on reproductive-age patients, and included pre-therapy or during-therapy examinations, administered doses, and treatment frequencies of I-131 were selected. The Joanna Briggs Institute Critical Appraisal Checklist is used as a comprehensive evaluation tool, and the literature quality was categorized as high, moderate, and low. RESULTS The final 17 articles examined the effect of I-131, with 13 focusing on women's reproductive function and 4 on men's. Women who received I-131 therapy can lower anti-Mullerian hormone levels and disrupt menstrual cycles within the first year, and it does not affect subsequent pregnancies. For men, the therapy led to elevated levels of follicle-stimulating hormone and luteinizing hormone, along with changes in sperm quantity, morphology, and motility, which tend to normalize within a year post-therapy. CONCLUSIONS The reproductive side effects associated with I-131 therapy are generally transient, with most individuals experiencing a return to normal within 1 year following treatment.
Co-Authors - Evitayani Ade Asyari Adeline Sacharissa Firdaus Afdal Afriwardi Afriwardi Ahmad Kurniawan Akbar Aisyah Elliyanti Alfina, Nabila Amri, Siti Salsabilla Andani Eka Putra Andi Friadi Aziza, Zulva Basyir, Vaulinne Berliana Irianti, Berliana Berliani, Hasvia Cimi Ilmiawati, Cimi Daan Khambri Darmayanti Siregar Dedi Afandi Defrin, Defrin Defrin, Defrin Delfina, Delfina Delmi Sulastri Desmawati Desmawati Desmawati Desmawati Desmawati Desmiwarti Desmiwarti Dina Khaira Mizana Dolly Irfandy Elizabeth Bahar Ellyza Nasrul Endrinaldi Ermawati Ermawati Erwani, Erwani Eryati Darwin Eti Yerizel Fadil Oenzil Faradila, Selvy Fatma Sri Wahyuni Fika Tri Anggraini Finny Fitry Yani Firdawati, Firdawati Furqan, Muhammad Afif Gumilar, Erry Hadya Gorga Haifa Wahyu Hamidah, Waldatul Hanum, Fathiya Juwita Hasmiwati Hillbertina, Noza Hudilla Rifa Karmia Humaira, Noni Ibrahim Ibrahim Ihsan, Indra Ilhami, Yose Ramda Indah Wahyuni Insani, Aldina Ayunda Irvandy, Dolly Jamsari Jamsari Joserizal Serudji Karmia, Hudilla Rifa Karmila, Hudila Rifa Kumagai, Hajime Lili Irawati Linosefa Linosefa Lisma Evareny Lismanto, Ferry Maharani, Rifty Zhafira Mardiah, Ainal Masrul Mayetti - Mega Ulfah Meilinda Agus, Meilinda Miftah Irramah Miranie Safaringga Mohammad Tegar Indrayana Muchtar, Masrul Muhammad Reza Mutia Lailani Nelson, Nelvianti Netti Suharti Netty Suharti Ningrat, Rusmana Setia Noni Humaira Novirman Jamarun Nur Indrawaty Lipoeto Nurrizma, Delsy Nuzulia Irawati Oea Khairsyaf Oktavia, Sri Pratama, Weno Putra, Bela Putri Sri Lasmini Putri, Mira Eka Rafika Oktova Rahmadian, Rizki Rahmat Nurul Yuda Putra Rahmatina B Herman Rahmi Junaida Randa Novalino Rani Armalita Rika Susanti Rina Rina Roslaili Rasyid Saptino Miro, Saptino Saputri, Mona Sari, Maharani Permata Sari, Nur Purnama Setiawan, Mentari Adinda Seto, Astari Siti Nurhajjah, Siti Suminta RS, Teresia Syahid MP, Miskah Indah Syahputra, Roni Eka Syawqi, Rahmat Tri Astuti Tri Rahayuningsih Ulya Uti Fasrini Utama, Bobby Indra Vaulinne Basyir Vinda Dwi Apriora Yanti, Farah Sevnell Yanwirasti Yanwirasti Yulia Kurniawati Yuniar Lestari Yusrawati - Yusrawati Yusrawati Yusticia Katar, Yusticia