According to the American Association of Clinical Endocrinologists (AACE), millions of women with menopausal-like symptoms, even those taking estrogen, may be suffering from undiagnosed thyroid disease. While symptoms such as fatigue, depression, mood swings, and sleep disturbances are frequently associated with menopause, they may also be signs of hypothyroidism. A survey done by the AACE showed that only one in four women who have discussed menopause and its symptoms with a doctor were also tested for thyroid disease. The thyroid plays a role in regulating overall body metabolism and influences the heart, brain, kidney, and reproductive system, along with muscle strength and appetite.
The case presented above illustrates how the symptoms of hypothyroidism can be attributed to menopause. While the issue of menopause needs to be addressed, it is also important to remember that the incidence of hypothyroidism increases with age and can co-exist with other conditions.
If you’ve been on hormone replacement therapy (HRT) for a while to relieve menopause symptoms, you may be wondering, what now? Should you stop taking it? If so, when? And how do you go about it?
If you are healthy, most experts agree that HRT is safe to use at the lowest dose that helps for the shortest time needed. If you're 59 or older, or have been on hormones for 5 years, you should talk to your doctor about quitting.
As patients, you should be aware of the signs and symptoms of hypothyroidism and let your doctor know if you have concerns about your thyroid function. If you are a woman experiencing symptoms of menopause, do not hesitate to discuss them with your doctor. If you feel that the symptoms are persisting despite appropriate therapy, it may be worthwhile to have your thyroid-stimulating hormone (TSH) levels checked. A blood sample is all that is needed to make the initial diagnosis of hypothyroidism, and treatment is easily achieved with thyroid replacement therapy.