Disorders of the thyroid

Cynthia A. Stuenkel, MD
Clinical Professor of Medicine, University of California

THYROID disease, one of the most common endocrine disorders in women, can be confounding when presenting at midlife.

Symptoms of overt thyroid disorders might overlap with the menopause transition: changes in menstrual cycles, fatigue, sleep disturbance, mood, skin and hair changes, and heat (or cold) intolerance. Challenges making the diagnosis of subclinical thyroid disorders and confusion regarding treatment advice further complicate the clinical picture.

In 2014, the US Preventive