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Menopause

Menopause or Hidden Thyroid Condition?

10/31/1998

Question:

Two years ago I developed a thyroid nodule; later received a suspicious biopsy report; used alternative methods; the nodule disappeared; had a sonogram - possible adenoma and cyst, however thyroid hormone levels remained normal; was experiencing menopause-like symptoms (I was 44 then).

I consulted with two physicians, who ultimately wanted to remove the thyroid just to be safe. I did not agree; used alternative methods, the nodule went away and the symptoms lessened.

Now am experiencing Dry Eye Syndrome. Thought the thyroid might be low. Went to an endocrinologist. Thyroid levels are normal; FSH confirmation of menopause at 39.

Endocrinologist wants to treat the symptoms (dry eyes, dry skin, weight gain, energy lack) with thyroid hormone, putting the thyroid at rest for 6 months to see if this affects the symptoms (of menopause).

I am concerned that he is treating the wrong thing. Should we not be addressing the menopause, instead of what appears to be a normal thyroid? The physician's premise is: "in view of the questionable pathology reports on the thyroid in the past."

I have researched this very thoroughly, and am not feeling very confident in this physician's approach.

I really would like a better understanding of how menopause and thyroid "symptoms" are inter-related, and which comes first. Does the menopause cause the thyroid symptoms; or does the thyroid cause the menopause symptoms. I am currently 46 - I may certainly be in menopause. But could this be brought on by a hidden thyroid problem?

I would appreciate some enlightenment on this subject.

Answer:

There is some overlap of symptoms, but neither condition actually causes the other. If you are still having menstrual periods, you are not completely menopausal. If you are uncomfortable with the current recommendation, I would recommend telling your physician that or getting a second opinion from someone who can review all of your records with you.

For more information:

Go to the Menopause health topic, where you can:

Response by:

University of Cincinnati Margery Gass, MD
Formely, Professor, Clinical Obstetrics & Gynecology
Department of Obstetrics & Gynecology
College of Medicine
University of Cincinnati
Margery   Gass, MD