Dr Sylvie ROUX-GUINOT

Endocrinologie
Conventionnement : Secteur 2
Carte Vitale Acceptée

Hypothyroidism (in English)

Hypothyroidism is a problem in which the thyroid is hypoactive. The thyroid does not work enough or even not at all. Hypothyroidism affects all aspects of your metabolism, as if your body tick is over . The treatment is simple. It’s involve daily use of the synthetic thyroid hormone levothyroxine.

Causes

Hypothyroidism can have several causes:

  • A psychological shock ( family, emotional, job)

  • During pregnancy the thyroid glas has an increased demand . The Thyroid hormone is critical to normal development of the baby’s brain and nervous system.

  • Additionally hypothyroidism can develops after birth , it is often referred to a “baby-blues” . For this reason, it is very important that pregnant and breast feeding women get enough iodine, with a daily oral iodine supplement.

After 50 years, hypothyroidism is very common.

Symptoms

Hypothyroidism is a condition in which the body lacks sufficient thyroid hormone. Since the main purpose of thyroid hormone is to "run the body's metabolism," it is understandable that people with this condition will have symptoms associated with a slow metabolism ( heart, muscles, brain, skin….):

  • Fatigue, weakness

  • Daytime sleepiness

  • Depression, difficulty concentrating and memory loss.

  • Dry skin, hair loss, eassily broken nails.

  • Increased sensitivity to cold, even though it is hot.

  • Abnormality low rate of heartbeat ( bradycardia).

  • Puffy face and body (for example, to have difficulty in removing rings).

  • Weight gain ( 2 to 3 kgs) or increased difficulty losing weight

  • Constipation

  • Muscle aches, tenderness and stiffness

In practice, it is rare that a person presents all these clinical signs. She will have some of them. The dermatologists and gynaecologists often ask for a thyroid blood assessment, when hair loss becomes important, moderate weigh gain with swelling or unexplained tiredness…

Treatment   

The treatment is simple and identical worldwide. T4 produced by our thyroid is reproduced chemically, synthetically. When you take the treatment your body does not make a difference between the synthesic hormone and T4 produced by your thyroid. Synthetic hormone has long life action. A control of the TSH will be practised 4 to 6 weeks after the beginning of the treatment; the goal being to standardize the TSH which was increased.

According to the results, posology will be increased.

 

Learn more:

- The thyroid gland: its role and its problems.

- Goiter, nodules and cancer

- Hyperthyroidism

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