The thyroid, a small, butterfly-shaped gland located in the neck, plays a vital role in regulating numerous bodily functions. Among its essential responsibilities is the control of metabolism, affecting energy levels, body temperature, heart rate, hormonal balance, reproductive health, and overall quality of life. Thyroid diseases are more common in women than in men.

Did you know that women are 5 to 8 times more likely to develop thyroid diseases than men? It is estimated that one in eight women will encounter a thyroid disorder during her lifetime. 

As women are more likely to develop thyroid disease, it is essential for women to understand thyroid diseases, what causes these problems, how to identify the early signs, and how to manage their thyroid health for a better quality of life.

What Does the Thyroid Gland Do?

The thyroid gland, located in the lower part of the neck, produces hormones that influence every cell, tissue, and organ in the body. The two main hormones the thyroid produces are thyroxine (T4) and triiodothyronine (T3), which are essential for maintaining the body’s metabolic rate, heart and digestive function, muscle control, and brain development.

While both men and women have thyroid glands, women are more susceptible to thyroid diseases due to hormonal fluctuations. Oestrogen and progesterone levels, which fluctuate during the menstrual cycle, pregnancy, and menopause, can impact thyroid function.

Moreover, the role of the thyroid gland is particularly significant in women as it interacts with the female reproductive system and hormonal balance. Changes in thyroid function and the level of T3 and T4 hormones can affect menstrual cycles, fertility, pregnancy, and menopause.

Common Types of Thyroid Diseases

  1. Hypothyroidism

Hypothyroidism occurs when the thyroid gland doesn’t produce enough thyroid hormones. The common causes of hypothyroidism include iodine deficiency, Hashimoto’s thyroiditis (an autoimmune disease), radiation therapy, thyroid removal, or certain medications. The signs and symptoms of hypothyroidism may vary but include muscle weakness, fatigue, weight gain, thinning hair, slow heart rate, and irregular menstrual cycles. 

  1. Hyperthyroidism

Hyperthyroidism is the overproduction of thyroid hormones. It is usually caused due to Graves’ disease, an autoimmune disorder. Symptoms of hyperthyroidism include weight loss, anxiety, irregular heartbeat, heart palpitations, trembling hands and fingers, and menstrual irregularities. 

  1. Thyroiditis

Thyroiditis refers to thyroid gland inflammation, often resulting in imbalances in thyroid hormones. The most common thyroiditis causes are autoimmune conditions, bacterial or viral infections, and genetics. 

The condition often manifests as hyperthyroidism in the initial stages due to leakage of hormones from the inflamed thyroid gland, followed by hypothyroidism when the gland’s function diminishes. 

The two most common types of thyroiditis are – Hashimoto’s thyroiditis and postpartum thyroiditis. 

  • Hashimoto’s Thyroiditis is an autoimmune disorder in which the body’s immune system mistakenly attacks the thyroid gland. 
  • Postpartum Thyroiditis: Postpartum thyroiditis is a temporary thyroid gland inflammation that occurs after childbirth. It is a common condition that affects about 10% of postpartum women. 
  1. Goitre

A goitre is an unusual thyroid gland enlargement caused by an iodine deficiency or an underlying thyroid disorder. Extreme inflammation of the gland can cause coughing and trouble breathing or swallowing. The condition is more likely to affect women due to hormonal changes during puberty, pregnancy, and menopause.

  1. Thyroid Nodules

Thyroid nodules are lumps or growths that form within the thyroid gland. These nodules can be seen or felt around the neck and may not cause any symptoms or problems. While most nodules are noncancerous (benign), some can be cancerous. Further evaluation through imaging, biopsies, or fine needle aspiration is necessary to determine the nature of the nodule and appropriate treatment.

  1. Thyroid Tumours

Thyroid tumours can be benign (non-cancerous) or malignant (cancerous). Benign tumours, such as thyroid adenomas, are more common and usually don’t pose significant health risks. Malignant tumours, like papillary or follicular thyroid cancer, though less common, require prompt medical attention and treatment.

  1. Thyroid Cancer

Thyroid cancer is the uncontrolled growth of cells in the thyroid gland. It is often asymptomatic in the early stages or presents as a lump in the neck. Types of thyroid cancer include papillary, follicular, medullary, and anaplastic thyroid cancer. Treatment typically involves surgery to remove the cancerous tissue, followed by radioactive iodine therapy, targeted therapy, or radiation, depending on the type and stage of cancer.

Thyroid Disease and Women’s Health

The thyroid has a profound impact on women’s health throughout their lives. Hormonal fluctuations during puberty, pregnancy, and menopause can influence thyroid function and potentially lead to thyroid disorders. 

Moreover, women can experience various challenges due to thyroid problems during different life stages. These include: 

  • Impact on Menstrual Cycle and Fertility

Thyroid disorders can disrupt menstrual cycles, causing irregularities and potential fertility issues. This is why it is crucial for women struggling with infertility to have their thyroid function evaluated.

  • Impact on Pregnancy

During pregnancy, thyroid function is especially critical. Untreated thyroid disorders can harm both the mother and the developing baby. Proper management and monitoring of thyroid function is essential for a healthy pregnancy.

  • Postpartum Thyroiditis

Postpartum thyroiditis is a common thyroid dysfunction in the postpartum period experienced by one in every ten women. This condition can lead to mood swings, fatigue, and difficulty caring for the newborn.

  • Menopause and thyroid function

Thyroid problems can emerge or worsen during menopause, as hormonal changes during this stage can affect the functioning of the thyroid gland. Symptoms like fatigue and weight gain are often mistaken for typical menopausal symptoms.

Risk Factors for Thyroid Disease in Women

The risk factors for thyroid diseases in women include:

  • Family history: A family history of thyroid disease, particularly autoimmune conditions like Hashimoto’s or Graves’ disease, increases the risk for women.
  • Age and hormonal changes: Women are more likely to develop thyroid disorders as they age, especially after menopause. Thyroid conditions can also develop during pregnancy or postpartum. 
  • Diet and iodine intake: A deficiency of iodine, a mineral essential for the production of thyroid hormone production, can contribute to thyroid dysfunction. Women should ensure they consume an adequate amount of iodine-rich foods, such as seafood and iodised salt.
  • Stress and lifestyle: Chronic stress can affect the immune system and trigger or exacerbate thyroid problems. A healthy lifestyle with proper nutrition, exercise, and stress management can help support thyroid health.

Recognising the Early Signs of Thyroid Diseases

It’s essential to be aware of the common signs of thyroid disease in women:

  • Persistent, unexplained tiredness.
  • Unexplained weight gain or loss.
  • Depression, anxiety, or irritability.
  • Changes or irregularities in the menstrual cycle.
  • Dry skin, hair loss, or brittle nails.
  • Feeling excessively cold or hot.
  • Rapid or irregular heartbeat.

If you experience these symptoms, particularly if they persist, it’s crucial to seek medical evaluation to determine if they are related to thyroid dysfunction.

For personalised consultation and evaluation from the comfort of your home, consider contacting Zarcare, where you can access virtual doctor consultations with experienced medical professionals. 

Treatment and Management

Treatment for thyroid disease depends on the specific condition and its severity:

Medications for thyroid disorders

  • Hyperthyroidism: Medications used to manage hyperthyroidism aim to regulate the production of thyroid hormones. Antithyroid drugs like methimazole and propylthiouracil help reduce the excessive hormone production by the thyroid gland. Beta-blockers may also be prescribed to manage symptoms like rapid heartbeat and tremors associated with hyperthyroidism.
  • Hypothyroidism: Medication in the form of thyroid hormone replacement therapy is the primary treatment for hypothyroidism. The most common medication prescribed is levothyroxine, a synthetic form of the hormone thyroxine (T4). This medication helps to restore thyroid hormone levels in the body.

Lifestyle Changes and Dietary Considerations

  • Diet

A balanced diet is crucial for thyroid health. Consuming foods rich in iodine, zinc, selenium, and vitamins is beneficial. Iodine is essential for thyroid hormone production, and sources of iodine include seafood, dairy, and iodised salt. Selenium-rich foods like nuts and seeds support the thyroid gland, while zinc in meat and legumes aids in hormone regulation. 

  • Exercise

Regular physical activity supports metabolism and can aid in weight management, a common concern for those with thyroid conditions. Consult a healthcare professional to determine a suitable exercise routine based on your condition.

  • Stress Management

Chronic stress can exacerbate thyroid conditions. Practising stress-reduction techniques such as yoga, meditation, deep breathing, or engaging in hobbies can help manage stress levels and positively impact thyroid function.

Surgery

  • Thyroidectomy

In case of goitre, thyroid nodules, thyroid cancer, or severe hyperthyroidism, surgical removal of the part or the entire thyroid gland may be necessary. This procedure, known as a thyroidectomy, is performed by a skilled surgeon. However, after thyroidectomy, you may need to take thyroid replacement hormones for the rest of your life. 

  • Radioactive Iodine Therapy

Radioactive iodine treats hyperthyroidism by reducing the thyroid’s ability to produce hormones. The radioactive iodine is taken orally, and the thyroid absorbs it, decreasing hormone production.

Thyroid Hormone Replacement Therapy

For individuals with an underactive thyroid (hypothyroidism), thyroid hormone replacement therapy is a fundamental aspect of treatment. Levothyroxine, a synthetic form of thyroxine (T4), is the most commonly prescribed medication. This medication effectively replaces the deficient thyroid hormones in the body, helping to restore energy levels, regulate metabolism, and improve overall well-being.

Conclusion

Thyroid disease is a significant health concern that is more likely to impact women. Understanding the intricacies of this condition, its various types, symptoms, and the impact on different stages of a woman’s life is essential for maintaining overall well-being. 

By proactively recognising symptoms, seeking appropriate medical care, and adopting a healthy lifestyle, women can effectively manage thyroid disorders and improve their quality of life. 

Take control of your thyroid health with Zarcare’s online doctor consultation. Visit our website and connect with experienced healthcare professionals who can guide you on your journey to optimal thyroid well-being. 

Frequently Asked Questions

Can I live a normal life with thyroid disease?

Thyroid disease is often a life-long medical condition that needs to be managed constantly. Individuals with thyroid disease can lead fulfilling and productive lives with proper management and adherence to prescribed treatments. Regular medical follow-ups, medication, a healthy diet, and lifestyle adjustments play vital roles in achieving a good quality of life while managing thyroid conditions.

Can I exercise if I have thyroid disease?

Regular exercise benefits individuals with thyroid disease as it can help with energy levels, weight management, and overall well-being. However, it is important to consult with your healthcare provider to determine your exercise routine. 

How often should I check my thyroid levels if I have a thyroid disease?

It’s generally recommended to have thyroid levels checked every 6 to 12 months for individuals with a thyroid disease. However, the frequency may vary based on the specific thyroid condition, its severity, and your healthcare provider’s guidance.

Disclaimer: This article is not a substitute for official healthcare. Suppose you suspect someone you know or yourself suffers from what this article mentions. The Zarcare Team recommends contacting a qualified healthcare practitioner immediately for a proper diagnosis and treatment.

References:

https://my.clevelandclinic.org/health/diseases/8541-thyroid-disease
https://www.cwcare.net/what-all-women-should-know-about-their-thyroid/
https://www.siemens-healthineers.com/clinical-specialities/womens-health-information/laboratory-diagnostics/thyroid-disease
https://utswmed.org/medblog/thyroid-women/
https://www.theepochtimes.com/health/what-you-need-to-know-about-your-thyroid-health-2169238
https://www.lifespan.org/lifespan-living/thyroid-conditions-women-symptoms-treatment-and-care