Thyroid Problems in Women: Recognizing the Signs and Getting the Right Diagnosis

Do you ever feel like you might be struggling with your thyroid health?

In this blog, we’ll explore who should suspect issues with their thyroid, the top symptoms to keep an eye out for, how to get tested, and what steps you can take today.

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Table of Contents

Who Should Suspect Thyroid Issues?
Recognizing The Symptoms of Thyroid Disease
How to Test for Thyroid Issues
The Earliest Signs of Thyroid Issues
What Should You Do If You Suspect Thyroid Issues?
Solving Thyroid Problems in Women

Who Should Suspect Thyroid Issues?

Gender

The first, and biggest consideration is gender. Women experience way more issues with thyroid disease when compared to men – it’s not fair, but it’s true. That said, men still get thyroid disease, but if you’re a female, your odds are higher.

Age

The second biggest consideration is age. The older you get, the more likely it becomes that you may struggle with your thyroid. Research has shown that the odds climb higher and higher almost on a decade-by-decade basis. This is true for both genders.

Stages in Life

Next, we need to think about certain stages in life. Along with age, we also know when thyroid disease becomes even more common:

• After pregnancy
• Perimenopause
• Menopause

Specifically, we see that with the onset of perimenopause, the risks of autoimmune thyroid disease go up almost five times. Typically that will be around the mid-40s for women.

Family History

The other thing we need to think about is family history. If someone in your family has had thyroid disease, your odds become instantly higher. It’s a bit of a curious thing because while it is likely it is not specific to any particular type.

For example, if someone in your family had Graves’ disease or thyroid cancer, you have a greater chance of having thyroid disease – but not specifically having Graves’ disease or thyroid cancer, specifically. The most common type is autoimmune hypothyroidism.

Recognizing The Symptoms of Thyroid Disease

Now that we’ve talked a bit about those who may suspect thyroid issues, let’s talk a bit more about symptoms, Broadly speaking, we want to organize symptoms into one of three distinct camps:

1. Unexplained symptoms
2. Most predictive symptoms
3. Hidden symptoms

Let’s dive into each…

Unexplained Symptoms

Thyroid symptoms can often feel unexplained. Typically, this means you may have struggled with them before, but now they are back and appearing in greater intensity.

On the other hand, they could also be brand new. Some of the most common symptoms in this category include:

• Hair Loss: Noticeable hair thinning or shedding.
• Weight Gain: Difficulty losing weight despite a healthy diet and exercise.
• Irregular Menstrual Cycles: Changes in your periods.
• Poor Libido: Reduced interest in sex.
• Numbness in Hands or Feet: Tingling or loss of sensation.
• Depression: Persistent feelings of sadness.
• Anxiety: Excessive worry or nervousness.
• Insomnia: Difficulty sleeping.

These are things that you may have had before, but if a certain number of them have emerged or changed together, that is suspicious for thyroid disease.

Most Predictive Symptoms

The most predictive symptoms are the ones that may be less common but point more toward the likelihood of thyroid disease. These include:

• Deeper Voice: A sudden change in your voice tone.
• More Constipation: Frequent constipation that’s hard to manage.
• Hoarse Voice: Difficulty speaking clearly.
• A More Hoarse Voice: Increased difficulty in speaking clearly.
• Puffy Eye*: Swelling around the eyes.
• Feeling Colder: Sensitivity to cold temperatures.
• Muscle Cramps: Painful muscle contractions.
• More Tired: Persistent fatigue.
• Slower Thinking: Brain fog and difficulty concentrating.
• Weaker Muscles: Reduced strength.
• Drier Skin: Excessively dry Skin.

Notice that most of these symptoms suggest some kind of change (think: a more hoarse voice). These are emerging symptoms that are more predictive when they are emergent.

Hidden Symptoms

Some symptoms are often overlooked but can still be relevant to thyroid issues:

• Clinical Depression: Thyroid problems can contribute to mood disorders.
• Impaired Decision-Making: Cognitive issues can arise.
• Encephalopathy: Swelling of the brain.
• Fatty Liver: Accumulation of fat in the liver.
• Headaches: Frequent headaches.
• Pain: Unexplained body pain.
• Infertility: Difficulty getting pregnant.

These are not among the most classic thyroid symptoms. But, they are strongly associated and give us a thought of food for thought and cause for concern.

How to Test for Thyroid Issues

Based on what we know about who should suspect thyroid issues, and the most common and relevant symptoms, what do you do next? In short, you check!

Examining Your Thyroid

The first thing to consider is an examination of your thyroid. Understanding the physical structure of it to inform how it’s working and what you should do next.

There are three ways this can be done. The first is by performing a self-examination.

A self-examination is the simplest method. If you do these regularly, they are very useful – but, the first time you do them you’re not going to know what to expect. And that’s okay!

Over time, you can learn what is “normal” for your neck and how it should feel, so you can spot any irregularities and then seek proper care.

You can perform a self-examination by checking for any unusual lumps or sore spots on your neck. I’d consider performing what we call a “neck check” once a month.

Beyond that, there are also doctor’s exams and ultrasounds. These are great to build on what you’re seeing after a self-examination or if things change over time.

Complete Blood Panel

A complete blood panel, including tests for the following markers, can provide valuable insights:

• TSH (Thyroid-Stimulating Hormone)
• fT4 (Free Thyroxine)
• fT3 (Free Triiodothyronine)
• TPO (Thyroid Peroxidase Antibodies)
• Tg (Thyroglobulin Antibodies)

There are so many things you could be testing. But, I think it truly helps to focus on this core set of markers to give you a sense of where you should focus your efforts.

While some other tests exist, such as rT3, TIA, and T7, they are not as commonly used and may not provide as much diagnostic information.

The Earliest Signs of Thyroid Issues

The earliest sign of thyroid disease is that something might hurt. Maybe you discover a lump or a sore spot on your neck. In many cases, you may notice skin changes over your thyroid, which can lead to a rash that almost perfectly outlines the thyroid.

Additionally, we may see nodules show up. They are a common sign of there being some kind of thyroid disease, and they are also a problem on their own (they can often present a risk for thyroid cancer down the road).

In terms of blood tests, the most common early finding would be positive thyroid antibodies. This includes:

• Antithyroperoxidase
• Antithyroglobulin

Of the two of those, the first is the most common to show up first. This typically indicates that there is some kind of autoimmunity present.

When it is high, it is always an issue. If it is totally low, it is rarely an issue – but, when it is borderline it depends on a whole host of factors.

There are also those with thyroid disease who do not have measurable thyroid antibodies. In those cases, we find this out by the findings on an ultrasound.

What Should You Do If You Suspect Thyroid Issues?

If you are concerned about the potential thyroid problems in women or anyone else, what should you do if you have a sneaking suspicion you might be suffering? Here are two of the top things to consider…

1. Follow Up With a Specialist

If your tests indicate thyroid problems, it’s ideal to consult with an endocrinologist who is trained in natural medicine. They can help you understand your condition and guide you on the appropriate steps to take moving forward.

2. Answer the Medication Question

If you are someone struggling with thyroid disease, it is so important to know that you do not need to go on medication straight away. In nearly all cases, medications are not likely to help and may even result in increased risk.

The conventional world is a little slower to medicate, but if they do they are more apt to use T4 like Synthroid. In the natural world, they are very quick to medicate and are quick to use natural thyroid (or T3-only).

What’s the issue here? While all of these things certainly have their place, if you do not need thyroid medication it is not only unlikely to help, it is likely to cause harm (like increased cancer risk, mortality risk, shutting off your thyroid, etc.).

Solving Thyroid Problems in Women

Based on everything we discussed today, I hope I gave you some insight into recognizing the signs of thyroid issues, getting to the heart of them, and knowing the first steps to take to start treating them the right way.

There are so many who can reverse these symptoms with diet and nutraceuticals. If you are someone who is in the early stages of thyroid disease, please consider the Thyroid Reset Diet for a comprehensive plan.

You can pair that with Thyroid-Specific Formulations, with a handy quiz to help you figure out the best nutriceuticals you can take for your health. I hope it helps!

In nearly all cases, these sorts of strategies can take care of everything that might be causing you to struggle. I hope they give you a look toward feeling better in a meaningful way.

P.S. Whenever you are ready, here is how I can help you now:

1. Schedule a Thyroid Second Opinion with me, Dr. C, Click Here for Details
2. Need A Thyroid Supplement Recommendation? Take My Thyroid Specific Formulations Quiz Now
3. Need a Personalized Supplement? Check out My Thyroid Specific Formulations
4. Download and use my Favorite Recipes Cookbook Here
5. Check out my podcast Medical Myths, Legends, and Fairytales Here

Dr. Alan Glen Christianson (Dr. C) is a board-certified Naturopathic Endocrinologist, and the author of The NY Times bestselling Adrenal Reset Diet, Metabolism Reset Diet, Thyroid Reset Diet, and the Healing Hormone Cookbook.

Dr. C’s gift for figuring out what really works has helped hundreds of thousands of people reverse thyroid disease, lose weight, diabetes, and regain energy. Learn more about the surprising story that started his quest.