TSH and menopause

Changes in the amount of estrogen produced by the ovaries during menopause can also affect the levels of thyroid hormones and TSH in the blood.

What is a normal TSH level for a post menopausal woman?

In women, during the menstruation cycle, pregnancy, or after menopause, TSH levels may fall slightly outside the normal range, because of fluctuating levels of estrogen. The normal range of TSH levels in non-pregnant adult women is 0.5 to 5.0 mIU/L.

Are thyroid problems related to menopause?

Some symptoms of hypothyroidism are similar to symptoms reported during the menopause transition. These include fatigue, forgetfulness, mood swings, weight gain, irregular menstrual cycles, and cold intolerance. Hyperthyroidism (an overactive thyroid) occurs when the thyroid produces too much of its hormones.

Is hypothyroidism common after menopause?

Thyroid diseases like hypothyroidism, nodular goitre, and cancer are especially frequent in postmenopausal and elderly women. The diagnosis of thyroid dysfunction in this group of patients may be difficult because of nonspecific symptoms and different interpretation of thyroid function tests.

Does age affect TSH levels?

TSH levels do increase with age and using age-specific reference TSH ranges does slightly reduce the fraction of elderly patients who would be otherwise be diagnosed with subclinical hypothyroidism and perhaps unnecessarily treated with thyroid hormone replacement.

Thyroid disorders and how they interact with perimenopause & menopause

What is the ideal TSH level for a woman?

What is a normal TSH level in a woman? An optimal TSH level in a woman is 0.4-2.5 mIU/L. For pregnant women, that upper limit is stricter than if you are not pregnant. A dangerously high level of TSH is above 5.0 mIU/L.

What is considered a dangerously high TSH level?

A TSH over 10 mIU/L has been linked to an increased risk of coronary heart disease and heart failure, which is why you’ll probably want to seek treatment if your TSH is close to (but still under) that upper limit.

How does estrogen affect TSH?

Estrogen has a well-known indirect effect on thyroid economy, increasing the thyroxine binding globulin [4], and the need for thyroid hormone in hypothyroid women [5].

Does hypothyroidism get worse with menopause?

Hypothyroidism can increase or worsen symptoms of menopause. A research study from 2007 showed that women with a thyroid disorder and severe menopause experienced improved symptoms after getting treated for the thyroid disorder. This suggests that treating thyroid disorders can help manage menopause symptoms.

What can affect TSH levels?

Concomitant diseases, medications, supplements, age, gender, ethnicity, iodine status, time of day, time of year, autoantibodies, heterophilic antibodies, smoking, and other factors influence the level of TSH, or the performance of current TSH assays.

What causes sudden increase in TSH levels?

Your TSH levels will be increased, if: Your thyroid gland is not working as it normally should. Your thyroid gland is infected or inflamed, as in Hashimoto’s thyroiditis, or autoimmune thyroiditis. This occurs when your body is attacking your thyroid gland, for some unknown reason.

Can stress cause high TSH levels?

“Stress increases production of the hormone cortisol, which is produced by the adrenal glands. Cortisol can inhibit secretion of TSH (thyroid stimulating hormone) from the pituitary gland, leading to partial suppression of thyroxine, the main hormone produced by the thyroid gland,” Dr. Guandalini explains.

What are the symptoms of high TSH?

High TSH levels indicate hypothyroidism.

  • fatigue.
  • weight gain.
  • swelling of the face and neck.
  • increased sensitivity to cold temperatures.
  • dry skin.
  • thinning hair.
  • a slow heart rate.
  • irregular or heavy menstrual periods.
  • What if my T3 and T4 are normal but TSH is high?

    Normally, low levels (less than 5 units) of TSH are sufficient to keep the normal thyroid gland functioning properly. When the thyroid gland becomes inefficient such as in early hypothyroidism, the TSH becomes elevated even though the T4 and T3 may still be within the “normal” range.

    What time of day is TSH highest?

    Circulating TSH shows a normal circadian rhythm with a peak between 11 pm and 5 am and a nadir between 5 pm and 8 pm. [1] Secretory pulses occur every 2–3 h and are interspersed with periods of tonic nonpulsatile TSH secretion.

    What happens if TSH is high in female?

    High TSH levels can mean your thyroid is not making enough thyroid hormones, a condition called hypothyroidism. Low TSH levels can mean your thyroid is making too much of the hormones, a condition called hyperthyroidism. A TSH test does not explain why TSH levels are too high or too low.

    How can a woman lower her TSH level?

    If your thyroid is overactive, there are several options:

  • Radioactive iodine to slow down your thyroid.
  • Anti-thyroid medications to prevent it from overproducing hormones.
  • Beta blockers to reduce a rapid heart rate caused by high thyroid levels.
  • Surgery to remove the thyroid (this is less common)
  • Can weight loss lower TSH levels?

    Surprisingly in our sample there was no significant decrease in TSH serum concentrations through weight loss as there was in most other studies.

    What TSH level is considered severe hypothyroidism?

    If your TSH is higher than 4.0 mU/L on repeat tests, you probably have hypothyroidism.

    At what TSH level should hypothyroidism be treated?

    If your TSH level is higher than 10 mIU/L, you should start treatment, because you will very likely develop symptoms of an underactive thyroid, even if you don’t have them now.

    What causes TSH levels to fluctuate without medication?

    For people with thyroid disease, certain things can cause fluctuations in thyroid hormone levels. These may include disease progression, medication changes, other herbs and supplements, and the change of seasons.

    Does dehydration affect TSH levels?

    Dehydration commonly leads to hypovolemia and hemoconcentration. Changes in thyroid hormone-binding proteins secondary to hemoconcentration profoundly affect total serum thyroid hormone concentrations.

    How often do TSH levels fluctuate?

    In both tests, the blood is taken at the same time of day because TSH levels can fluctuate over the course of 24 hours. Subclinical hypothyroidism is diagnosed when both TSH readings are high but the thyroid hormone thyroxine is still within the normal range.

    Source: drreads.com

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    Tommy E. Junkins

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