pic
Tatyana Ponti MD

Hypothyroidism

Nov 09, 2009

Hypothyroidism

Hypothyroidism means your thyroid is not making enough thyroid hormone. The thyroid is a butterfly-shaped gland in the front of your neck. It makes hormones that control the way your body uses energy.

Having a low level of thyroid hormone affects your whole body. It can make you feel tired and weak. If hypothyroidism is not treated, it can raise your cholesterol levels and make you more likely to have a heart attack or stroke. During pregnancy, untreated hypothyroidism can harm your baby. Hypothyroidism is easy to treat.

People of any age can get hypothyroidism, but older adults are more likely to get it. Women age 60 and older have the highest risk. You are more likely to get the disease if it runs in your family.

In the United States, the most common cause is Hashimoto’s thyroiditis. It causes the body’s immune system to attack thyroid tissue. As a result, the gland can’t make enough thyroid hormone.

Other things that can lead to low levels of thyroid hormone include surgery to remove the thyroid gland and radiation therapy for cancer. Less common causes include viral infections and some drugs, such as lithium.

Hypothyroidism can cause many different symptoms, such as: feeling tired, weak, or depressed, dry skin and brittle nails, not being able to stand the cold, constipation, memory problems or having trouble thinking clearly, heavy or irregular menstrual periods.

Symptoms occur slowly over time. At first you might not notice them, or you might mistake them for normal aging.

Doctors usually prescribe thyroid hormone pills to treat hypothyroidism. Most people start to feel better within a week or two. Your symptoms will probably go away within a few months. But you will likely need to keep taking the pills for the rest of your life.

If you have mild hypothyroidism, you may not need treatment now. But you’ll want to watch closely for signs that it is getting worse.