Hypothyroidism signs and symptoms

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Hypothyroidism (underactive thyroid) is a condition in which your thyroid gland doesn't produce enough of certain crucial hormones.

Hypothyroidism may not cause noticeable symptoms in the early stages. Over time, untreated hypothyroidism can cause a number of health problems, such as obesity, joint pain, infertility and heart disease.

Hypothyroidism signs and symptoms may include:

  • Fatigue

  • Increased sensitivity to cold

  • Constipation

  • Dry skin

  • Weight gain

  • Puffy face

  • Hoarseness

  • Muscle weakness

  • Elevated blood cholesterol level

  • Muscle aches, tenderness and stiffness

  • Pain, stiffness or swelling in your joints

  • Heavier than normal or irregular menstrual periods

  • Thinning hair

  • Slowed heart rate

  • Depression

  • Impaired memory

  • Enlarged thyroid gland (goiter)

Treatment

Standard treatment for hypothyroidism involves daily use of the synthetic thyroid hormone levothyroxine (Levo-T, Synthroid, others). This oral medication restores adequate hormone levels, reversing the signs and symptoms of hypothyroidism.

You'll likely start to feel better soon after you start treatment. The medication gradually lowers cholesterol levels elevated by the disease and may reverse any weight gain. Treatment with levothyroxine will likely be lifelong, but because the dosage you need may change, your doctor is likely to check your TSH level every year.