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Thyroid Disorder in Women

"At least 1 in 10 women can expect to suffer from some sort of thyroid disorder during her lifetime. Whether thyroid disorders strike at puberty, during peak reproductive years, during or after her pregnancy, around menopause, or after age sixty, a woman's body is uniquely -- and dramatically -- affected." For women affected with a thyroid disorder, these statistics probably come as no surprise, often they have a family history that may include a variety of thyroid disorders. The Thyroid Sourcebook for Women by M. Sara Rosenthal is a must read for women who have a diagnosed thyroid disorder.

As the author, herself a thyroid patient, states in the introduction, "...what Dr. Purdy points out is no different than what women have been saying to me for years about their experiences with thyroid disease: many are ignored or misdiagnosed with stress-related or psychiatric disorders; many are unable to obtain adequate information from their doctors about thyroid disease; many are abused and infantilized (i.e., treated like children) by their physicians." For this reason, Rosenthal has written a book that sets out to be a thorough guide to understanding the thyroid's function, it's unique relationship to the female hormone and immune systems, and they ways in which thyroid disorders manifest themselves in women.

When women joke about needing thyroid medication because they've gained weight or are struggling to take it off, they're demonstrating only one aspect of how the thyroid manifests itself in our health. What most of us don't know is that the thyroid gland affects everything from menstruation and fertility to depression and fatigue, and can be the cause of emotional and behavioral changes. The first chapter, "All About Eve -- And the Thyroid Gland" does a wonderful job of explaining how the thyroid functions, and its relationship to the other parts of the endocrine system, especially the pituitary gland and the parathyroid glands. The complex nature of the thyroid is made more understandable, and it becomes clearer why the range of disorders that it can cause is so broad. Rosenthal includes a section about tracing thyroid disease in your family, and it contains all kinds of interesting information that could ring a bell for a reader who might not otherwise question the possibility of a familial thyroid condition. Also in this chapter is a section on the relationship of PMS to thyroid problems, and Rosenthal presents a list of symptoms that might help a patient and her doctor sort things out.


Rosenthal focuses a good portion of the book on the two commonest symptoms of thyroid problems -- hypothyroidism and hyperthyroidism -- respectively underactive and overactive thyroid hormone production. "In most cases, overactive and underactive thyroid glands are symptoms of specific thyroid diseases; they are not the cause of a disorder. ...Sometimes, to simplify explanations, doctors may choose only to tell patients that they are "hyperthyroid" or "hypothyroid," sparing them the details of the actual malfunction that caused their over or underactive symptoms. However it is not possible to spontaneously become hyper- or hypothyroid without the existence of a particular disorder." The second chapter then sets about to explain what the commonest of these disorders are and the symptoms that they produce.

For women who are experiencing problems surrounding fertility, the chapter "Fertility, Pregnancy, and the Thyroid" is particularly pertinent if you suspect thyroid disorders. As Rosenthal lays it out in the first sentences, "There are two groups of women reading this chapter. The first group is concerned about first developing a thyroid problem during or after pregnancy, while the second group is concerned about how a diagnosis of thyroid disease will interfere with conception or pregnancy. This chapter will address all of these concerns." Indeed, the chapter covers in detail how the thyroid is related to fertility and what the impact is when there is thyroid disease. Likewise, the relationship between pregnancy, postpartum and thyroid disease is explained so that if you are affected by any of these factors, the book provides you with material to discuss with your doctor.

The Thyroid Sourcebook for Women is available at The Health Library in hard copy, and it is also part of our eBook collection.

The Health Library resources are not intended as a substitute for medical care.
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