Underactive Thyroid

What is Hypothyroidism?

Hypothyroidism is when the thyroid gland does not produce enough thyroid hormones (T3 and T4), essential for regulating metabolism, energy production, and many bodily functions.
 
Common Symptoms of Hypothyroidism:
 
Symptoms develop gradually and can be easily overlooked, especially in the early stages.
 
Fatigue
Weight gain
Cold intolerance
Constipation
Depression or low mood
Dry skin
Puffy face
Hoarseness
Thinning hair or hair loss
Slow heart rate
Memory problems or “brain fog”
Menstrual irregularities or heavier periods
Muscle weakness or cramps
Swelling in the neck (goitre)
 
Complications of Untreated Hypothyroidism:
 
If not diagnosed and treated, hypothyroidism can lead to:
Heart Problems
Elevated LDL cholesterol can cause atherosclerosis, increasing the risk of heart attack or stroke.
Myxedema (Severe Hypothyroidism)
A rare, life-threatening condition that can cause coma, hypothermia, and even death if untreated.
Infertility and Pregnancy Risks
Hypothyroidism increases the risk of miscarriage, preterm birth, and neurodevelopmental issues in the baby.
Mental Health Issues
Untreated hypothyroidism can lead to depression, cognitive decline, and slowed mental processing.
Goitre
Chronic stimulation of the thyroid gland by TSH can lead to enlargement of the thyroid (goitre).
 
Treatment of Hypothyroidism:
 
The mainstay of treatment is levothyroxine, a synthetic version of T4 hormone.
Taken orally, once daily.
 
Dosage is tailored and monitored through TSH levels in blood tests.
Requires lifelong therapy in most cases.
 
Dr Geranmayeh