Dear readers,
if you’re going through the menopause and are experiencing unexplained changes in your body, you’re not alone. The menopause can be accompanied by changes in the way your thyroid works, that little gland that is so important to your body.

Today we’re going to demystify this subject together and give you the keys to better understanding and managing this situation.

Let’s start by getting to know your thyroid.

Located in your neck, this butterfly-shaped gland plays an essential role in your metabolism. It produces hormones that regulate a number of vital functions: your energy, your weight, your body temperature, and even your mood!

At the menopause, this gland can experience some upheaval, mainly due to hormonal changes in your body.

Unusual tiredness, unexplained weight changes, mood disorders, difficulty sleeping or sensitivity to cold or heat: perhaps you recognise yourself in some of these symptoms?

These symptoms can be confused with the classic symptoms of the menopause, which is why it’s important to pay attention to your body’s signals. Don’t hesitate to talk to your doctor: a simple blood test can often shed some light.

There are two main situations: hypothyroidism (slower functioning of the thyroid gland) or hyperthyroidism (excessive functioning).

Hypothyroidism is most common during the menopause. It can manifest as weight gain, chronic fatigue, mild depression or a general feeling of slowing down.

Hyperthyroidism, which is less common, can cause increased nervousness, palpitations and unexplained weight loss.

At the menopause, the drop in oestrogen can have a direct influence on the way your thyroid works.

Thyroid hormone receptors sometimes become less sensitive, which may explain the appearance of symptoms even when tests seem normal.

What’s more, the hot flashes characteristic of the menopause can be aggravated by thyroid dysfunction. That’s why an overall approach that takes account of all your hormones is often necessary for optimal treatment.

The good news is that there are now effective treatments to regulate your thyroid. If a disorder is diagnosed, your doctor will be able to prescribe a hormone replacement treatment tailored to your needs. These treatments are generally well tolerated and help to restore a harmonious balance.

Hormone replacement therapy must be personalised and may require a few adjustments at the start.

Levothyroxine, the most commonly prescribed drug for hypothyroidism, should be taken in the morning on an empty stomach, about 30 minutes before breakfast. It is important to maintain this routine for optimum effectiveness.

For hyperthyroidism, other medicines may be prescribed to slow down the production of thyroid hormones.
In all cases, your doctor will carry out regular checks to adapt the dosage to your specific needs.

 In addition to medical treatment, you can adopt certain habits to help your thyroid function properly:

• A balanced diet rich in iodine (fish, seaweed) and selenium (Brazil nuts, fish)
• Regular physical activity suited to your abilities
• Stress management techniques such as meditation or yoga
• Quality sleep, essential for your hormonal balance

 Thyroid problems can affect many aspects of your daily life, but once again, there are practical solutions.

For example, if you feel very tired, plan your day to include rest periods. To manage weight fluctuations, eat balanced meals at regular times and avoid restrictive diets, which can further disrupt your metabolism.

Skin dryness, often associated with thyroid problems, can be relieved by using appropriate moisturising creams. As for concentration problems, don’t hesitate to note down your appointments and important tasks, and favour the times when you feel most fit for activities requiring attention.

Don’t forget that you don’t have to manage this alone!

Regular check-ups with your doctor allow you to adjust your treatment if necessary and monitor the progress of your thyroid. Check-ups are simple and will ensure that everything is going well.

 In addition to a simple blood test, other tests may be necessary for optimal monitoring.

Thyroid ultrasound allows you to see the gland and detect any nodules. Thyroid scintigraphy may be prescribed in certain cases to assess how the gland is functioning. These examinations are painless and help to refine the diagnosis and follow-up.

It is also important to monitor other parameters such as your bone density, as thyroid disorders can have an impact on the health of your bones, particularly during the menopause. Your doctor may prescribe a bone densitometry if necessary.

 Don’t hesitate to prepare for your consultations by writing down your questions. Here are some important points to raise:

• The recommended frequency of blood tests
• Possible interactions between your different treatments
• Adjustments needed if you travel or change your routine
• Signs that should alert you between consultations
• Food supplements compatible with your treatment

These discussions with your doctor are essential for optimal care and will help you to better understand your situation.

This can be an emotionally challenging time. It’s normal to feel confused or worried at times.

Don’t hesitate to share your concerns with those close to you or to join a discussion group.

The support of other women in the same situation can be very comforting!

If you notice any changes that worry you, talk to your doctor.

Thyroid problems during the menopause are common and well known to health professionals. With appropriate monitoring and treatment, you can continue to enjoy life to the full.

This period is also an opportunity to take care of yourself and listen more closely to your body.

Don’t forget: you’re not alone in this adventure, and there are solutions to help you make the most of it!

Remember that every woman is unique and your journey is a personal one. The solutions that work for one will not necessarily be suitable for another. The most important thing is to find your own balance, in collaboration with your medical team, and to listen to your body. This transition period can also be an opportunity to redefine your priorities and take better care of yourself.

With the right tools and the right support, you can not only manage these hormonal changes effectively, but also continue to fulfil your potential in this new phase of your life as a woman!