As a naturopathic physician who works in the reproductive health field, I often encounter individuals struggling with fertility issues and recurrent miscarriages, and one of the common underlying factors I observe is Hashimoto's thyroiditis, also known as chronic autoimmune thyroiditis. In this article, we will explore the effects of Hashimoto's thyroiditis on reproductive health, including its impact on fertility and miscarriage, and discuss naturopathic supports that may help improve reproductive outcomes.