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July 12, 2023 10 min read

Every woman's life is marked by an inevitable natural transition - menopause. Characterized by the cessation of menstruation it typically occurs in women between 45 and 55 and is characterized by the cessation of menstruation. During this time, hormonal changes occur, leading to symptoms such as hot flashes, mood swings, and sleep disturbances.

However, many people may not be aware of the potential connection between menopause and hypothyroidism. Hypothyroidism is when the thyroid gland does not produce enough thyroid hormones, resulting in a slower metabolism and various health issues. Both menopause and hypothyroidism share similar symptoms, such as fatigue, weight gain, and mood changes. This can make it difficult for women to differentiate between the two conditions or attribute their symptoms solely to one or the other.

Understanding this connection is crucial because having hypothyroidism during menopause can increase your risk for complications. The hormonal imbalances during menopause can exacerbate existing thyroid problems or even trigger new ones. Additionally, untreated hypothyroidism can worsen menopausal symptoms and negatively impact overall health.

How does the hormonal shift during menopause impact thyroid function?

The connection between menopause and hypothyroidism

Women going through perimenopause and postmenopause tend to have a higher risk of thyroid disease. However, it's not totally clear if one leads to the other. What we do know is that menopause and thyroid disease, whether it is hyperthyroidism (overactive thyroid) or hypothyroidism (underactive thyroid), are closely linked.

Menopause is brought about by a subtle yet persistent decline in the hormone estrogen, which occurs progressively over several years. However, early menopause can also be instigated by specific medical treatments.

The time period called perimenopause often brings increased hormonal fluctuations. During this unstable hormonal period, some women might develop hypothyroidism. A proposed theory suggests that the significant fall in estrogen levels could indeed affect thyroid levels. However, more research is required to confirm this relationship.

Do menopause and hypothyroidism share the same symptoms?

Hypothyroidism and menopause often share the same symptoms. This can make it hard to tell if the symptoms are due to menopause or an underactive thyroid. When both conditions are present, the risk and harshness of these overlapping symptoms may increase.

It's been shown that hypothyroidism can worsen or add to the symptoms of menopause. A research study from 2007 found that women with a thyroid disorder and severe menopause saw an improvement in their symptoms after they were treated for their thyroid disorder. This indicates that managing thyroid disorders can help control symptoms of menopause.

Symptoms can range widely since thyroid disease covers a variety of conditions characterized by low or high thyroid hormone activity. From the first signs of perimenopause through the years following menopause, you might experience weight changes, sleeping problems, mood swings, vaginal dryness, urinary infections, and more.

So, if you have thyroid disease and are going through menopause, you're likely experiencing a broad range of symptoms. Many of these symptoms are common to both conditions and consequently, having both at the same time might make your symptoms even worse.

Symptoms of hypothyroidism

Hypothyroidism manifests in various ways. Common underactive thyroid symptoms range widely, including fatigue, unexpected weight gain, and a consistent feeling of being drained. Cold sensitivity, constipation, dry skin, and hair loss might also indicate this glandular tissue. Additional symptoms of hypothyroidism can encompass irregular or particularly heavy menstrual periods, depression, a slower heartbeat, and memory troubles.

Symptoms of menopause

Menopause is accompanied by its own set of symptoms in varying intensities. One of the primary indicators of entering menopause is a change in menstrual regularity. Hot flashes, chills, night sweats, and issues with sleep become common occurrences. Psychological effects can include mood swings coupled with physical alterations such as increased weight, dry skin, hair loss, and reduced breast fullness. Women may also experience vaginal dryness.

The overlapping symptoms of underactive thyroid and menopause

Digging into the symptoms display, it becomes clear that underactive thyroid and menopause share quite a few common beats, resulting in a potential amplification of discomfort for the individual navigating both. Here are some of the overlapping symptoms you need to be aware of:

Changes in menstruation

Perimenopause rings at the beginning of menstrual shifts, with periods often becoming irregular and occasionally skipped. Menopause, on the other hand, signals the time when periods completely cease. Comparatively, hypothyroidism can meddle with menstruation, too, resulting in variations in bleeding intensity or frequency.

Difficulty sleeping

Women journeying through perimenopause might often find sleep elusive, battling to fall asleep or to maintain it throughout the night. Hypothyroidism follows a similar rhythm, triggering an increased requirement for sleep that might feel unfulfilled.

Mood changes

Perimenopause can bring its own set of emotional challenges, with mood swings finding commonplace. Hypothyroidism steps onto the same stage, carrying the potential of spiraling into depression.

Weight changes

Weight gain is a frequent uninvited companion during perimenopause, usually settling down post-menopause. Echoing this trajectory is hypothyroidism, which notoriously leads to weight gain.

Digestive problems

Hypothyroidism can throw a wrench in the regular digestive rhythm, often manifesting as constipation. Women navigating perimenopause and postmenopause meanwhile may experience changes in pre-existing digestive conditions, such as inflammatory bowel disease (IBD).

Body temperature fluctuations

The chill of cold always seems a step away for women in the perimenopausal phase. Hypothyroidism resonates with this, potentially making you more sensitive to cold.

Low energy levels

Lastly, energy levels often take a hit during hypothyroidism, perimenopause, and menopause, leaving individuals grappling with fatigue. This overlaps with the condition's symptom catalog, with hypothyroidism known for leading to low energy.

Can hypothyroidism increase your risk for complications in menopause?

The connection between menopause and hypothyroidism

Hypothyroidism can indeed potentially heighten the risk of complications arising during menopause. During menopause, women often face the threat of osteoporosis, a bone-debilitating condition that reduces bone density, making bones ill-protected and vulnerable. Similarly, hypothyroidism, too, is associated with reduced bone density, and, as the research corroborates, it may contribute to the progression of osteoporosis. This scenario is especially prevalent among a particular risk group: Caucasian women with low body fat.

But the parallels don't end with bones. The heart, too, finds itself caught in this intricate health echo. During menopause, a woman's risk of cardiovascular diseases rises. This is also true for individuals with hypothyroidism, where a deficiency in thyroid hormones can contribute to an increased risk of heart disorders.

What are other possible connections between hypothyroidism and menopause?

Many women turn to hormone replacement therapy (HRT) as a means to alleviate the discomfort associated with perimenopause. Typically, HRT does not interfere with the function of the thyroid. However, it's worth noting that women undergoing treatment for an underactive thyroid may need to adjust their medication dosage once they commence HRT.

It's critical to maintain a regular check on thyroid hormone levels, particularly if symptoms associated with an underactive thyroid or menopause become apparent.

Moreover, there's an area of debate around the consumption of soy during menopause and the impact it may have on the thyroid. The British Thyroid Foundation suggests that in women with standard thyroid function, the ingestion of soy is most likely harmless.

However, in a scenario where thyroid function hovers near the lower limit, coupled with a diet deficient in iodine, heavy soy consumption could potentially elevate the risk of developing an underactive thyroid. It's important here to highlight the fact that our thyroid gland relies on iodine to produce T3 and T4 hormones.

Therefore, if you're a woman consuming soy supplements and dealing with low thyroid function, paying keen attention to iodine intake becomes a matter of importance. A good place to find this essential element? Look no further than your table salt.

When to see a doctor

If you start to notice any of the above symptoms, it's essential that you consult with your doctor. Do not just assume they are due to menopause or perimenopause without further investigation.

Your doctor can accurately determine whether these symptoms correspond to menopause or an underactive thyroid.

During your consultation, your doctor will inquire about the details of your symptoms, such as when they were initiated, their severity, and duration. A physical examination is likely, and your doctor may also recommend further diagnostic testing.

To confirm a diagnosis of either menopause or underactive thyroid, your doctor can perform a simple blood test. This test checks the levels of specific hormones and other indicators in your bloodstream.

To determine whether your symptoms correlate with menopause or an underactive thyroid, your doctor can administer a straightforward blood test. This test assesses the levels of certain hormones and markers in your system.

Follicle Stimulating Hormone (FSH)

FSH shoulders the responsibility of triggering the maturity and ovulation of an egg within the ovary. As a woman progresses in age, her body requires higher FSH levels for these processes. Sustained high levels of FSH, generally exceeding 30 milli-international units per milliliter (mIU/mL), can be indicative of menopause.

Luteinizing Hormone (LH)

Following menopause, Luteinizing Hormone (LH) levels also experience a surge. Though LH levels naturally peak during the mid-cycle to initiate ovulation, a single increased value isn't enough to confirm menopause.

Thyroid Stimulating Hormone (TSH)

The starting point in evaluating thyroid health typically revolves around testing TSH levels. If your thyroid function isn't running on its normal operations and the levels of your thyroid hormones dip low, your body counteracts by ramping up TSH production to stimulate the thyroid gland to release more thyroid hormones. Therefore, an elevation in TSH levels could suggest your body is striving to establish normal thyroid function, pointing towards the possibility of an underactive thyroid.

T3 and T4

These two hormones make up the primary output of the thyroid gland. Though their levels don't see substantial change with an underactive thyroid, doctors perform the test to eliminate other potential thyroid conditions.

Thyroid Antibody Testing

The thyroid gland houses certain cell proteins, against which the body sometimes produces antibodies. This occurrence can contribute to both underactive and overactive thyroid conditions. If these antibodies accompany an underactive thyroid condition, it might lead to a diagnosis of Hashimoto's thyroiditis.

How can you manage hypothyroidism during menopause?

The connection between menopause and hypothyroidism

Thyroid hormone replacement therapy

Managing hypothyroidism during menopause can seem daunting, but it's vital to understand that hypothyroidism can compound menopausal symptoms. Therefore, maintaining an effective treatment plan for hypothyroidism during menopause is essential for overall health. With hypothyroidism, under-treatment can lead to elevated cholesterol levels, which can spawn other complications like atherosclerosis, heart attacks, or strokes. It can also cause high blood pressure, contributing to similar heart-related issues. Over-treatment, on the other hand, is a known cause of osteoporosis.

Let's delve into some of the most common thyroid hormone replacement therapies:


Levothyroxine is a standard option for thyroid hormone replacement therapy. It's used to supplement a low production of thyroxine, a key hormone produced by your thyroid gland. Levothyroxine helps regulate the body's metabolism and chemical processes, easing hypothyroidism symptoms. Regular health checks are necessary during this treatment to ensure your thyroid hormone levels remain balanced.


Liothyronine is another option, which is a synthetic form of another thyroid hormone, triiodothyronine (T3). This treatment is often considered when patients don't respond well to levothyroxine. Liothyronine fills the gap in natural hormone production, but due to its rapid absorption in the gut, it requires more frequent monitoring to avoid excessive hormonal replacement.

Natural Desiccated Thyroid (NDT)

Lastly, we have Natural Desiccated Thyroid (NDT). This treatment option is obtained from pig thyroid glands and includes both T4 and T3 hormones. NDT is unique as it may offer a closer simulation of the hormone balance found naturally in the human body. This broader spectrum of thyroid hormones can be particularly beneficial for individuals who struggle to convert T4 to T3 efficiently. As such, many patients and healthcare professionals alike consider NDT as the preferred and most effective treatment option for hypothyroidism.

Considering a natural alternative can also be a fruitful avenue to explore. If you want to make the switch, VitaliThy, a natural desiccated thyroid you can buy online, is a great option. Originating from Vietnam, VitaliThy is categorized as a supplement rather than a medication due to different regulations between Vietnam and the US. However, its quality assurance is noteworthy as it adheres to the high standard of Good Manufacturing Practices set by the Vietnamese Ministry of Agriculture, renowned for its rigorous guidelines. This makes VitaliThy a reliable choice in the realm of natural supplements.

The importance of regular monitoring

Healthcare providers are well-equipped to adjust hypothyroidism treatments based on current needs, and this incorporates changes that occur during menopause. For instance, when estrogen levels fall due to menopause, those on levothyroxine, a common treatment for hypothyroidism, may require a modification in their dosage, typically decreased. On the other hand, hormone therapy, frequently used for relieving menopausal symptoms, might necessitate an increase in levothyroxine dosage.

A study published in the Climacteric journal in December 2018 endorsed a personalized approach to hormone therapy for menopause in women with thyroid disorders like hypothyroidism. What this underscores is the importance of an individualized approach in managing both hypothyroidism and menopause symptoms.

While hypothyroidism can be managed with prescribed thyroid hormone supplements such as levothyroxine and Natural Desiccated Thyroid (NDT), continuous monitoring of thyroid hormone levels by your healthcare team is critical for assessing the impact of treatment. Symptom monitoring also plays an important role, as any new or worsening signs should not be ignored.

Estrogen replacement therapy

Aside from managing hypothyroidism, estrogen replacement therapy might be beneficial to counteract the effects of perimenopause or menopause, irrespective of your thyroid status. However, it's important to remember that the requirement for this hormonal treatment varies among women. Some women may only need estrogen supplementation during the symptomatic phase of perimenopause and menopause and might subsequently be able to discontinue the treatment, while for others, long-term treatment may be necessary.

In conclusion, the intricacies of navigating hypothyroidism and menopause underscore the paramount importance of working closely with healthcare providers. By doing so, symptoms of both thyroid issues and menopause can be more effectively managed, resulting in improved overall health.

Conclusion: There's a connection between menopause and hypothyroidism

The intertwined relationship between menopause and hypothyroidism remains apparent, albeit complex, illuminating the necessity for a well-rounded understanding of both conditions. Discrimination between overlapping symptoms, awareness of potential complications, and regular consultation with healthcare providers are all pivotal in managing these health conditions to ultimately foster an enhanced quality of life during this transformative phase.

Further, the administration of thyroid hormone replacement therapies such as levothyroxine, Liothyronine, and especially Natural Desiccated Thyroid (NDT) becomes critical in managing hypothyroidism during menopause. The latter—NDT—offers a promising therapy as it comes closest to replicating the body's natural balance of thyroid hormones.

VitaliThy, a natural desiccated thyroid you can buy online, is a reliable and accessible form of NDT. Adhering to high standard good manufacturing practices, VitaliThy not only signifies a move towards natural alternatives but also positions itself as an effective solution for managing hypothyroidism during menopause.

In whatever path you tread, remember that your journey through menopause and managing hypothyroidism is uniquely yours. Rest assured, with educated choices and consistent medical guidance, you can successfully navigate this period, ensuring an optimal balance between your body's hormonal levels and, consequently, a healthier and more comfortable menopausal experience.

Wojciech Majda
Wojciech Majda

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