Radioactive iodine

Radioactive iodine has been studied in 4 papers since 2021: 3 observational studies in people, 1 review; 1 in the past year. The newest paper, Jul 24, 2026: “Assessing the reproductive lifespan of female cancer survivors using AMH: a meta-synthesis of longitudinal studies”.

Intervention

4 papers study it9 findingsUpdated

See all 4 papers on radioactive iodine

At a glance

The findings reach people, from one lab or study. 4 independent labs in 3 countries.

“There was no significant difference in CH VAF increase in patients treated with RAI compared to untreated age-matched controls (3.8% vs. 1.2%, p = 0.2).”
Effects of radioactive iodine on clonal hematopoiesis in patients with thyroid cancer: A prospective studyClinical endocrinology2023doi:10.1111/cen.14925

1 of its findings points the other way.

Humans: a single group. Cells, worms or flies and mice: nothing yet.
  • 4 independent labs in 3 countries
  • 1 finding against
  • Funders: Cycle for Survival and 1 more
  • Humans3

What did studies of radioactive iodine find?

7

Studies of radioactive iodine measured 7 outcomes, among them anti-Müllerian hormone, solid second primary malignant neoplasm and variant allele frequency.

Anti-Müllerian hormone

downin humans1

1 study
  1. Radioactive iodine decreases anti-Müllerian hormone in humans (thyroid cancer) (-57.9% (95% CI: -65.2 to -36.4)).

    “With thyroid cancer (median age 32.5 years, n = 181), radioactive iodine treatment was associated with a 57.9% reduction in AMH at 12 months (95% CI: -65.2 to -36.4; 4 studies; GRADE: high-certainty evidence).”

    Reviewthyroid cancer12 months from end of treatmentfemalesn = 181

    Assessing the reproductive lifespan of female cancer survivors using AMH: a meta-synthesis of longitudinal studies

    Human reproduction update

More on Anti-Müllerian hormone

Solid second primary malignant neoplasm

no changein humans1RR 0.94

1 study
  1. Radioactive iodine was not clearly linked with solid second primary malignant neoplasm in humans (nonmetastatic differentiated thyroid cancer) (RR 0.94, 95% CI 0.76-1.16).

    “The overall risk of a solid second primary malignant neoplasm was not elevated (RR, 0.94; 95% CI, 0.76-1.16)”

    Humansnonmetastatic differentiated thyroid cancer

    Age-Specific Risk of Second Primary Malignant Neoplasm After Radioactive Iodine Treatment for Differentiated Thyroid Cancer

    JAMA otolaryngology-- head & neck surgery

More on Solid second primary malignant neoplasm

Variant allele frequency

no changein humans1

1 study
  1. Radioactive iodine showed no clear effect on variant allele frequency in humans (3.8% vs. 1.2%, p = 0.2).

    “There was no significant difference in CH VAF increase in patients treated with RAI compared to untreated age-matched controls (3.8% vs. 1.2%, p = 0.2).”

    Human trial24 monthsn = 40

    Effects of radioactive iodine on clonal hematopoiesis in patients with thyroid cancer: A prospective study

    Clinical endocrinology

More on Variant allele frequency

FSH

no changein humans1

1 study
  1. Radioactive iodine showed no clear effect on FSH in humans (women with papillary thyroid cancer) (P = 0.23).

    “We found decreased AFC (P = 0.03), serum levels of AMH (P < 0.01), inhibin B (P = 0.03), but not FSH (P = 0.23), 1 year after RAI treatment”

    Human trialwomen with papillary thyroid cancer1 yearfemalesn = 25

    Assessment of different markers of ovarian reserve in women with papillary thyroid cancer treated with radioactive iodine

    Endocrine connections

More on FSH

Inhibin B

downin humans1

1 study
  1. Radioactive iodine decreases inhibin B in humans (women with papillary thyroid cancer) (P = 0.03).

    “We found decreased AFC (P = 0.03), serum levels of AMH (P < 0.01), inhibin B (P = 0.03), but not FSH (P = 0.23), 1 year after RAI treatment”

    Human trialwomen with papillary thyroid cancer1 yearfemalesn = 25

    Assessment of different markers of ovarian reserve in women with papillary thyroid cancer treated with radioactive iodine

    Endocrine connections

More on Inhibin B

AMH

downin humans1

1 study
  1. Radioactive iodine decreases AMH in humans (women with papillary thyroid cancer) (P < 0.01).

    “We found decreased AFC (P = 0.03), serum levels of AMH (P < 0.01), inhibin B (P = 0.03), but not FSH (P = 0.23), 1 year after RAI treatment”

    Human trialwomen with papillary thyroid cancer1 yearfemalesn = 25

    Assessment of different markers of ovarian reserve in women with papillary thyroid cancer treated with radioactive iodine

    Endocrine connections

More on AMH

Antral follicle count

downin humans1

1 study
  1. Radioactive iodine decreases antral follicle count in humans (women with papillary thyroid cancer) (P = 0.03).

    “We found decreased AFC (P = 0.03), serum levels of AMH (P < 0.01), inhibin B (P = 0.03), but not FSH (P = 0.23), 1 year after RAI treatment”

    Human trialwomen with papillary thyroid cancerovary1 yearfemalesn = 25

    Assessment of different markers of ovarian reserve in women with papillary thyroid cancer treated with radioactive iodine

    Endocrine connections

More on Antral follicle count

What is radioactive iodine linked with?

2

Studies link radioactive iodine with 2 measures: solid second primary malignant neoplasm and hematologic cancer.

Solid second primary malignant neoplasm

upin humans1RR 1.88

1 study
  1. Radioactive iodine is linked with a higher risk of solid second primary malignant neoplasm in humans (nonmetastatic differentiated thyroid cancer) (RR 1.88, 95% CI 1.59-2.21).

    “The overall risk of a solid second primary malignant neoplasm was elevated (RR, 1.88; 95% CI, 1.59-2.21)”

    Humansnonmetastatic differentiated thyroid cancer

    Age-Specific Risk of Second Primary Malignant Neoplasm After Radioactive Iodine Treatment for Differentiated Thyroid Cancer

    JAMA otolaryngology-- head & neck surgery

More on Solid second primary malignant neoplasm

Hematologic cancer

upin humans1RR 1.35

1 study
  1. Radioactive iodine is linked with a higher risk of hematologic cancer in humans (nonmetastatic differentiated thyroid cancer) (RR 1.35, 95% CI 1.02-1.80).

    “In the 15- to 44-year age group, radioactive iodine was associated with an increased risk of hematologic cancers (RR, 1.35; 95% CI, 1.02-1.80)”

    Humansnonmetastatic differentiated thyroid cancer

    Age-Specific Risk of Second Primary Malignant Neoplasm After Radioactive Iodine Treatment for Differentiated Thyroid Cancer

    JAMA otolaryngology-- head & neck surgery

More on Hematologic cancer

Latest

Dec 2025: 0Jan 2026: 0Feb 2026: 0Mar 2026: 0Apr 2026: 0May 2026: 0Jun 2026: 0Jul 2026: 1Aug 2026: 0Sep 2026: 0Oct 2026: 0Nov 2026: 01 paper in 12 months