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On this page:
The
thyroid
is a small gland in the neck, just under the Adam's apple. Shaped like a butterfly, the thyroid plays an
important role in a person's health and affects every organ, tissue, and cell in the body.
It makes hormones that help to
regulate the body's metabolism (how the body uses and stores energy from foods
eaten) and organ functions. When the thyroid is not working properly (called thyroid
disorder), it can affect your body weight, energy level, muscle strength, skin
health, menstrual cycle (periods), memory, heart rate, and
cholesterol
level. Thyroid disorders
happen: when the thyroid gland is not as active as it should be (called underactive
thyroid); when the thyroid is more active than it should be (called overactive
thyroid); or when the thyroid is enlarged (called goiter or nodule).
People with thyroid enlargement can have underactive, overactive or normal thyroid
function. Thyroid disorders are much more common in women than in men. About 1 out of
every 8 American women will develop a thyroid disorder. Underactive or overactive thyroid
can be found with a simple blood
test (called a thyroid stimulating hormone or TSH test), and is most
often treated with medication and sometimes surgery or radioactive iodine.
Thyroid disorders include:
Hypothyroidism (underactive thyroid). This is the most common
type of thyroid disorder, where the thyroid makes too little of the thyroid hormone that
your body needs to function properly. It is most often caused by Hashimoto's disease.
With this disease, the body's
immune system
(which normally protects you from disease) thinks the thyroid is a
foreign invader and tries to destroy the thyroid. When damage is done to the thyroid, it
can become larger (called goiter).
Not getting enough iodine in a person's diet can also cause hypothyroidism, but this is
more common outside of the United States (in the U.S., many products such as salt and
bread are supplemented with iodine, making iodine deficiency rare).
Being female, over 40 years of age, having a close family member with thyroid disease, and
recently having had a baby are things that can increase the chance of getting
hypothyroidism.
Hyperthyroidism (overactive thyroid). When the thyroid gland is
overactive, it makes too much of the thyroid hormone that your body needs to be healthy.
This condition affects women more than men. In young women, hyperthyroidism is most often
caused by Graves' disease. With this disease, the body's immune system tricks the
thyroid into making too much thyroid hormone. The entire thyroid becomes enlarged and
overactive. Older women may get another form of hyperthyroidism (toxic nodular goiter),
where overactive thyroid cells group together and form a lump in the neck (called a thyroid
nodule) that makes more of the thyroid hormone than the body needs. Some thyroid
disorders initially cause overactive thyroid, but at a later point in time cause
underactive thyroid, due to damage done to the thyroid gland.
Postpartum thyroiditis. After giving birth, a woman's thyroid
can swell and become larger or inflamed. This can cause changing levels of thyroid hormone
in the body. Sometimes high levels can be followed by low levels of thyroid hormone. After
6 months or less, this condition usually goes away with no permanent damage to the
thyroid. While common, thyroid disorders after pregnancy are often hard to detect since
some of the symptoms, such as having trouble sleeping, fatigue,
depression, or weight change are
viewed as normal when a woman has a new baby. The symptoms can also be mild. Usually only
short-term treatment is required until the thyroid recovers normal function. Sometimes
after pregnancy, a woman can get hypothyroidism (underactive thyroid), which persists and
needs long-term treatment with medication.
Thyroid cancer. This type of cancer is most often found as a
lump (or nodule) in the thyroid gland. It is not a common type of cancer and most thyroid
nodules are benign (not cancer).
Other signs of thyroid cancer include swelling in the lymph nodes of the neck and trouble
swallowing or breathing. Although anyone can get thyroid cancer, people who as children
had head or neck x-ray treatments for tonsillitis
or other conditions (from about the 1920s to the 1960s) are more likely to get this
cancer. It is treated with surgery, which removes the cancer, sometimes followed by radioactive
iodine therapy, which kills the cancer.
It can be hard to tell if you have a thyroid disorder because these disorders can have
signs that are common and often confused with other conditions. If you think you have a
thyroid disorder, talk with your health care provider and ask if a blood test for a
thyroid disorder is indicated. A simple blood test measures thyroid stimulating
hormone, or TSH, to find overactive and underactive thyroid disorders.
Signs of hypothyroidism, or underactive thyroid, include:
- Fatigue
- Weight gain
- Mood swings
- Forgetfulness
- Hoarse voice
- Dry, coarse skin and hair
- Trouble swallowing
- Not being able to stand the cold
- Increased cholesterol
- Heavy or irregular periods or trouble getting pregnant
- An enlarged thyroid (goiter)
Signs of hyperthyroidism, or overactive thyroid, include:
- Weight loss
- Feeling irritable and nervous
- Weakness in muscles and tremors
- Having menstrual periods that are not regular
- Troubled, or disturbed sleep
- Problems seeing or eye irritations
- Having an enlarged thyroid (goiter)
- Not being able to stand the heat
- Palpitations or rapid heart beats
- Frequent bowel movements
Thyroid disease can be treated with medication alone or with surgery, radioactive
iodine or a combination of these treatments. Hypothyroidism (underactive thyroid) is
treated with thyroid replacement therapy. A synthetic hormone is taken daily to increase
the amount of thyroid hormone in a person's body. The drug most health care providers
prescribe is levothyroxine sodium. This is the same hormone the thyroid normally
makes. Treatment for hyperthyroidism (overactive thyroid) aims to decrease the amount of
thyroid hormone in a person's body. This is done through medications that block the
formation and release of thyroid hormone into the body or with radioactive iodine
treatment, which destroys the overactive thyroid tissue. Surgery can also be done to
remove part or all of the thyroid gland, but this is usually done to remove a nodule
rather than to treat overactive thyroid. If you have ever had a thyroid disorder, it is
important to check your thyroid levels with your health care provider on a regular basis.
For more information...
You can find out more about thyroid disorders by contacting the National Women's Health
Information Center (NWHIC) at 1-800-994-9662 or the following organizations:
Office of Scientific and Health Information
Phone Number(s): (301) 496-3583
Internet Address: http://www.niddk.nih.gov/
Thyroid Foundation of America, Inc.
Phone Number(s): (800) 832-8321
Internet Address: http://www.tsh.org/
The American Thyroid Association
Phone Number(s): N/A
Internet Address: http://www.thyroid.org/
American Foundation of Thyroid Patients
Phone Number(s): (281) 855-6608
Internet Address: http://www.thyroidfoundation.org/
The Thyroid Society for Education and Research
Phone Number(s): (800) 849-7643
Internet Address: http://www.the-thyroid-society.org
Endocrine Society
Phone Number(s): (301) 941-0200
Internet Address: http://www.endo-society.org/
From the
Office on Women's Health
Department of Health and Human Services
This FAQ has been reviewed by Judith Frandkin,
M.D. of the National Institute of Diabetes and Digestive and Kidney
Diseases, National Institutes of Health.
October 2002
http://www.4woman.gov/faq/thyroid_disease.htm
Also see
diabetes and your thyroid
thyroid websites
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