The Thyroid Hormone Breakthrough by Mary J Shomon

Thyroid Hormone

As women, we’ve come to expect that certain things are inevitable. As young girls, we anticipate -  but at the same time dread - the first arrival of “Aunt Flo” or “my friend.” Then, for the next 30 to 40 years, we assume that premenstrual syndrome, erratic cycles, and unusually light or heavy menstrual periods are simply an unavoidable part of life.

In the meantime, women’s magazines and television news programs deliver conflicting messages: you can get pregnant from a single sexual encounter, but infertility is on the rise. Teenage pregnancy rates are down, but if you’re a 45-year-old celebrity, it’s a breeze to give birth to twins. If you can’t get pregnant after trying for a year, your doctor says you are “experiencing infertility” and shuttles you off to a fertility expert for elaborate and expensive workups. After that you’re offered costly procedures and treatments—everything from hormone treatments to in vitro fertilization - to help you have a baby.

When we are pregnant, we assume that morning sickness is to be expected - even the kind of morning sickness that goes on all day and all night throughout the pregnancy, leaving us dehydrated and debilitated. “Morning sickness is a good sign,” say the old wives’ tales, and our mothers, relatives, and friends repeat this mantra, while prescribing crackers and club soda, as if that will make it better.

And while we all want to be like the celebrity model who still has an adorable figure with a tiny baby “bump” when she’s nine months pregnant, and who gets back into size 4 jeans a few weeks later, baby at her breast, some of us definitely don’t fit into that category. Instead, we walk around feeling down in the dumps, because our hair is falling out and we have no energy. And we have a horrible feeling of guilt and failure, because we’re not making enough milk to breastfeed our baby properly. We need to supplement with formula, or worse - we can’t nurse at all.

Many of us just assume that we’re not going to have the sex drive that we had when we were young. After reading all those women’s magazines and watching enough Oprah and Discovery Channel health shows, who of us can’t recite the reasons for our low libido? Marriage, exhaustion, children, not enough time, stress - I could go on for pages listing all the reasons why “losing that spark” is an expected part of life for women.

Let’s not forget the hormonal grand finale: menopause. Now that hormone replacement therapy is in the medical doghouse, women are once again saddled with weight gain, hot flashes, night sweats, fatigue, mood swings, vaginal dryness, and low sex drive. And just to add to the fun, we now have something called perimenopause - the time before true menopause, when we have all those so-called menopausal symptoms, plus erratic and sometimes extremely heavy periods. It may come as a surprise to you - it sure did to me - that perimenopause can go on for as long as a decade!

Have I depressed you yet? You were already depressed, you say? And sort of stressed out and anxious too? Of course, depression and anxiety are conditions that we assume are a given in today’s modern life. Antidepressants and antianxiety drugs like Zoloft, Prozac, Effexor, and Zyprexa are among the most prescribed medicines in the United States today.

It may sound as if we women are destined to be victims of our hormones from our preteens into our golden years. But there is hope. And it comes from your thyroid - a small gland that is very powerful, but often overlooked when it comes to women’s complaints.

The thyroid is a bowtie-or butterfly-shaped gland located in the neck, below and behind the Adam’s apple area. It is the master gland of energy and metabolism, and a key player in our complex endocrine system, interacting with other endocrine glands such as the pancreas, adrenals, ovaries, and pituitary. The thyroid releases hormones that rise and fall in concert with other endocrine hormones, such as insulin, cortisol, estrogen, and testosterone.

When the thyroid is not doing its job properly, it can throw the body’s entire hormonal and reproductive systems out of balance.

An undiagnosed or improperly treated thyroid condition may actually be at the root of many symptoms and complaints that we assume are simply “hormonal.”

By conservative standards, there are almost 27 million people with thyroid conditions in the United States today. An estimated half of these people are undiagnosed.

And this estimate may just be the tip of the iceberg. Since 2002, experts in the endocrinology community have been calling for changes in the standards that define normal thyroid function. Some doctors are already using new standards for diagnosis and treatment, but many practitioners have yet to adopt them. According to these new standards approximately 59 million Americans are considered to have thyroid disease.

This means that, right now, according to the newly recommended standards, there are as many as 30 million Americans who don’t even know they have a thyroid problem. Millions more have been diagnosed and treated, but they may still struggle with related symptoms and side effects. And since thyroid disease affects women seven times more often than men, the vast majority of the undiagnosed are women.

You may have in your mind what many consider the stereotypical thyroid patient…a middle- aged, overweight woman. And if that’s not you, you might assume you can’t have a thyroid condition. Or you may think that only if you have an enlarged thyroid, known as a goiter, or bulging eyes could you have a thyroid problem. You may have even been told by a doctor, as one young mother was, “You can’t possibly have a thyroid problem, because if you did, you wouldn’t have been able to just have a baby!”

But being of normal weight, having a normal neck or eyes, or the fact that you were able to have a baby do not rule out a thyroid problem.

That’s why I’ve written this book. In The Thyroid Hormone Breakthrough, you’ll learn about the thyroid’s powerful connection to so many seemingly unrelated hormonal symptoms and
complaints, and why this important gland is so often overlooked. You’ll learn about the common risk factors for thyroid disease and the symptoms that can help you pinpoint a condition. You’ll learn about how to get a proper diagnosis and how treatment can improve your condition. And you’ll learn about additional treatments, both conventional and alternative, that can help you enjoy a lifetime of better health.

This book is for you if are experiencing any of these problems:

You suffer with erratic menstrual periods that may be very heavy or very light, with cycles as short as every 18 days or as long as every 60 days, lasting anywhere from 2 to 10 days. From your first period as an adolescent to the final period that signals the onset of menopause, thyroid imbalances can cause a whole array of menstrual difficulties, including irregular cycles and severe PMS.

You’re unable to get pregnant, or you’ve had several miscarriages. You may even have undergone expensive and invasive procedures to overcome these problems. An undiagnosed thyroid problem may be the real reason you can’t get pregnant. You’re pregnant, and gaining - or losing - a great deal of weight, perhaps even suffering from severe morning sickness or other debilitating symptoms. Undiagnosed or improperly treated thyroid conditions can worsen your pregnancy symptoms, and even endanger your pregnancy, increasing the risk of miscarriage, intrauterine growth retardation, preterm labor, stillbirth, and cognitive problems or mental retardation in your child.

You’re having a difficult time breastfeeding and losing the baby weight, and you’re feeling fatigued, losing your hair, and suffering from postpartum blues. The postpartum period is a common time for thyroid symptoms to appear. And undiagnosed or undertreated postpartum thyroid problems are a key factor behind low milk supply.

You have little or no interest in sex. We may think this is just the way it is after being married a few years, having children, or getting older, but libido is closely linked to thyroid function. What you think is just low libido may actually be a symptom of a dysfunctional thyroid.

You’re in your forties or fifties, and you are having a particularly difficult perimenopause or severe menopause symptoms. Many women assume that symptoms such as fatigue, weight gain, hair loss, anxiety, and depression are “normal” for women approaching or going through menopause. But in reality, this is also a common time for thyroid problems to appear, and the symptoms being attributed to menopause may actually be caused by a treatable thyroid condition.

Before I continue, I’d like to explain my own background. I’m not a doctor or health  professional. I have a degree in international studies from Georgetown University. I never expected to be writing books about thyroid disease. But back in 1995, at the age of 33, I was diagnosed with Hashimoto’s disease, an autoimmune condition that causes hypothyroidism. The diagnosis was a turning point in my life and in my career. First, I struggled to return to good health myself. Later, I expanded my own research, began to share this knowledge with others, and became a patient advocate. In 1997, I started a popular, patient-oriented website on thyroid disease, www. thyroid- info.com. In 1998, I launched the only independent print and e-mail newsletter on thyroid health and treatment from a conventional and alternative perspective. I’ve also written a number of books and magazine articles to help people overcome their health challenges.

Now I get hundreds of e-mails and letters each week from readers all over the world sharing their stories and looking for solutions to their own thyroid and hormonal problems. And I can relate. When it comes to hormonal ups and downs, I’ve had a few of my own.

I’ve gone through phases where my periods have been wildly unpredictable, sometimes coming every 21 days, and other times, every 37 days.

In 1997, when I was 35, my husband and I began trying to conceive a child—but only after I had a thorough understanding of my fertility cycles and had my thyroid condition under control and carefully monitored. Thanks to this extra planning, preparation, and knowledge, our daughter was conceived fairly quickly, and was born a happy and healthy 8½ pounds in late 1997. (Don’t let anyone tell you that a thyroid problem means you can’t have a baby. My daughter is evidence to the contrary!)

But—there’s always a but - I gained 50 pounds in the process. It was a huge struggle to lose the extra weight. My hormones went wild after the delivery, setting off a case of postpartum blues, hair loss, and extreme fatigue. I also waged a six-month touch-and-go struggle to breastfeed, which I detail here in the book.

I had a second pregnancy at 40, which ended in a miscarriage at 10 weeks. My progesterone levels were simply not high enough to support the pregnancy, apparently. Losing a baby at any point in a pregnancy is such a heartbreak.

Now, at 44, I’m mother to a second child: we adopted a precious little boy in 2005. It’s wonderful, but very tiring, to have a little one again! But one other thing is making me tired - I’m in perimenopause. Truly, it’s a challenge to stay balanced given the ups and downs of my hormones.

So, all along the way, from my efforts to get pregnant more than nine years ago to my current adventures with perimenopause, I’ve had to immerse myself in information on women’s hormones, fertility, pregnancy, postpartum health, and the endocrine system in order to understand and meet my own challenges. The result is this book, written for the millions of you who, like me, are riding the hormonal roller coaster!

Many of you don’t even know you have a thyroid problem. I hope this book can provide a road map that will help you move quickly through the process of recognizing your symptoms, getting diagnosed, and receiving proper treatment.

Many of you have already been diagnosed and treated for a thyroid condition. But if your thyroid treatment is not optimized and carefully monitored, you are opening yourself up to a number of hormonal complaints. For example, during the time you are trying to become pregnant, and during early pregnancy, proper thyroid treatment and oversight can make the difference between infertility or miscarriage and a successful pregnancy and healthy baby.

For example, Mandy has been hypothyroid since she had radioactive iodine treatment, and now she has many unresolved hormonal symptoms.

I have gained weight. Diet and exercise have produced little positive result. I have uterine fibroids that cause extremely heavy periods. So much so that for at least two days of the month, I am very limited in the activities that I can participate in, as I bleed through double/super protection in 30 minutes. This was not so before thyroid disease. I have a much lower sex drive. My interest level is dramatically different now than during hyperthyroid days. My partner of 10 years is exasperated and is talking about leaving. I became pregnant and miscarried at one point. I do not even entertain the idea that pregnancy is an option for me anymore.

There is no reason that women like Mandy should have to suffer with symptoms like this. I also hope that some of you reading this book are practitioners trying to better understand your patients. More than ever, your patients are struggling with the implications of hormonal imbalances. There’s a dizzying array of options—with everything from a birth control pill that lets you have only 4 menstrual periods a year, fertility treatments that allow women to get pregnant well into their forties and fifties, and pills, powders, and potions that all promise to solve the symptoms of menopause now that the old standby, Premarin, has fallen out of favor.

I can’t promise that thyroid treatment is the solution for every woman struggling with PMS, fertility, menopause, or other hormonal challenges. But it is a solution for some, and the benefits of diagnosis and proper treatment are immeasurable.

Source: The Thyroid Hormone Breakthrough: Overcoming Sexual and Hormonal Problems at Every Age by Mary J Shomon