Have you ever noticed how almost every woman you know either has thyroid issues or knows someone who does? Turns out, it’s not just a coincidence. As per National Health Family Welfare report (2019-2021), women are 5 times more affected by these conditions compared to men, and the prevalence of thyroid disease in Indian women stands at 11-15%. This points to something rooted in a woman’s biology itself. So what exactly is going on inside a woman’s body that makes her more prone to thyroid issues? Read this blog till the end to find out.
Table of Contents
What is Thyroid Disease?
When the thyroid gland in our body secretes too little or too much thyroxine (T4) or triiodothyronine (T3), it results in a hormonal condition. The thyroid is a butterfly-shaped gland that releases the hormones T3, T4, and calcitonin. These conditions can be autoimmune (when the body attacks the gland) or caused by external factors (like low iodine intake, etc.)
Function of Thyroid Gland
Thyroid control many of our bodily functions, below is a list of what it does:
1. Regulates Metabolism
It controls your weight, temperature, and energy.
2. Supports Heart Function
Thyroid gland regulates heart rate and heartbeat.
3. Controls Growth and Development
In children, thyroid hormones are important for normal growth and brain development.
4. Maintains Body Temperature
Thyroid hormones help the body produce heat and keep body temperature stable.
influences muscle strength and food movement through the digestive system.
6. Regulates Calcium Levels
The thyroid gland also releases a hormone called calcitonin, which helps control calcium levels in the blood and supports bone health.
Observe your body and if you notice any unexplained changes in these areas, then get your thyroid tested.
Why Thyroid Disease is Common Among Females?
A Woman’s body in general is the main reason why thyroid disease is more common in women, irrespective of environmental factors or autoimmune disease. This holds true for both hypothyroidism and hyperthyroidism, women are more prone to either condition compared to men [1,2]:
1. Stronger Immune System
Women generally have a stronger immune system, which improves their response to infections and vaccines. But this can also work against them, as the immune system may start attacking their own thyroid gland.[3]
2. Female Hormones
Estrogen helps control the immune system. In women who are already prone to autoimmune disease, changes in estrogen levels may cause the immune system to lose tolerance and react against thyroid proteins. This can lead to inflammation, and gradually thyroid damage.
3. Genetics
Genetics also play a role in thyroid disease, a family history can trigger it
4. Pregnancy
During pregnancy, many changes occur in the body, not just from the outside but from within, as the body gears up to provide for the fetus. Because of these changes, the body demands more thyroid hormone for a few reasons:
The placenta breaks down thyroid hormone, so the mother’s thyroid has to work harder to meet the need
Thyroxine binding globulin increases during pregnancy, which means more thyroid hormone is needed
The body produces a hormone called hCG during pregnancy, which activates the thyroid to make more thyroid hormone
5. Post Delivery
During pregnancy, a woman’s immune system holds back from harming the fetus. Once the baby is delivered, the immune system can relapse and attack the thyroid gland again.
6. Midlife
Falling estrogen during menopause does not usually mean the thyroid cannot meet the body’s needs. TBG may decrease, but free thyroid hormone is mainly controlled by the TSH feedback system. Thyroid disease may become noticeable at this age because autoimmune disease risk increases with age, and its symptoms can resemble menopause.
Smoking increases the risk of autoimmune thyroid disease, as the immune system mistakes it for a foreign particle.
2. Infection
Infectious or non-infectious substances can activate the immune system and result in thyroid disease
3. Iodine
Too little iodine can result in hypothyroidism, while too much can result in hyperthyroidism
4. Exposure to Radiation
Radiation, including ionizing radiation and non-ionizing radiation like radiofrequency or microwaves, can result in thyroid disease.
5. Medicines
Several medicines, such as those used to treat HIV or control viral infections, can cause thyroid issues.
What are Thyroid Hormones Levels?
A thyroid test is a simple blood test that checks three hormones TSH (Thyroid Stimulating Hormone), T4, and T3 to see how well your thyroid is working. Doctors usually recommend this test if you are experiencing symptoms like unexplained weight change, fatigue or mood swings or if thyroid disease runs in your family [5]:
If your levels fall below or above this range, its a sign to consult a doctor for further evaluation and treatment.
How to Manage Thyroid ?
Thyroid disease cannot always be prevented, but it can be managed well with the right steps. Here is how you can manage thyroid:
1. Medication
Doctors usually prescribe hormone replacement medicines like levothyroxine for hypothyroidism, or anti-thyroid medicines for hyperthyroidism. Taking these on time and as prescribed helps keep hormone levels in the normal range.
Getting your TSH, T3, and T4 levels checked regularly helps track how the thyroid is responding to treatment, so the dosage can be adjusted if needed.
3. Diet
Eating iodine-rich foods like fish, eggs, and dairy can help support the thyroid, but too much iodine should also be avoided. In case of Hashimoto’s, some people also benefit from reducing gluten and processed foods.
4. Stress Management
High stress can affect hormone balance, so activities like yoga, meditation, or light exercise can help keep the thyroid function stable.
5. Sleep
Getting proper sleep is important as poor sleep can disturb hormone regulation, including thyroid hormones.
Thyroid disease is more common in women due to a mix of biology, hormones, genetics, and life stages like pregnancy and menopause. The thyroid gland plays a key role in regulating metabolism, heart function, and overall energy, so any imbalance in its hormones can affect day-to-day health.
Mahak Phartyal completed her bachelor's in pharmacy from Veer Madho Singh Bhandari Uttarakhand Technical University. She previously worked as a Medical Writer at Meril Life Sciences, where she wrote numerous scientific abstracts for conferences such as India Live 2024 and the European Society of Cardiology (ESC). During her college years, she developed a keen research interest and published an article titled “Preliminary Phytochemical Screening, Physicochemical and Fluorescence Analysis of Nyctanthes arbor-tristis and Syzygium cumini Leaves.”
First a Dentist, than an MBA, finally a founder dedicated to making high quality medicine available at a affordable price. Shivangi spent five years learning dentistry and treating patients at Army Dental College only to decide that satisfaction could only be had when she could help thousands of patients at scale. Her MBA in Marketing at NMIMS during the Covid Epidemic reaffirmed the need for affordable and quality healthcare.
She joined the SayaCare team determined to make a difference, and currently builds and upholds systems. Experienced in Operations, Pharmaceuticals, Marketing, HR & Admin, and design in product; Shivangi has built the modern SayaCare experience with her relentless focus on the patient and user.
Mahak Phartyal completed her bachelor’s in pharmacy from Veer Madho Singh Bhandari Uttarakhand Technical University. She previously worked as a Medical Writer at Meril Life Sciences, where she wrote numerous scientific abstracts for conferences such as India Live 2024 and the European Society of Cardiology (ESC). During her college years, she developed a keen research interest and published an article titled “Preliminary Phytochemical Screening, Physicochemical and Fluorescence Analysis of Nyctanthes arbor-tristis and Syzygium cumini Leaves.”
