Ep #185: Thyroid Problems in Women: Signs, Symptoms, and Managing PCOS

So many symptoms in perimenopause and menopause can be traced back to hormones, including sex hormones and the thyroid. In this episode, we take a deep dive into thyroid health and PCOS, and we touch on bone health. Andrea Donsky, nutritionist, published menopause researcher, menopause educator, author of Nourishing Menopause, and co-founder of wearemorphus.com, interviews with Dr. Damola Aje, a board-certified endocrinologist who specializes in PCOS, thyroid disorders, and menopause.

Topics:

• Thyroid Problems in Women - Thyroid problems in women can show up as fatigue, weight changes, feeling cold, dry skin, and low energy, especially during perimenopause and menopause. These symptoms are often mistaken for hormonal changes, which is why comprehensive thyroid testing beyond TSH is important.
• PCOS in Perimenopause and Menopause - PCOS in perimenopause and menopause remains a lifelong metabolic and hormonal condition, often linked to androgen imbalance, acne, hair thinning, and facial hair. Lean PCOS is also common and frequently overlooked.
• Insulin Resistance in Midlife Women - Insulin resistance in perimenopause and menopause is a key driver of PCOS, contributing to weight gain, stubborn belly fat, blood sugar imbalance, and metabolic dysfunction. Exercise supports glucose control and helps preserve muscle mass during aging.
• Hormonal Imbalance Symptoms in Women - Symptoms like brain fog, anxiety, fatigue, poor sleep, and heart palpitations can overlap between thyroid disorders, PCOS, and menopause, making hormonal imbalance in women harder to identify and often dismissed.
• Menopause Treatment and Hormone Support Options - Menopause treatment options may include hormone replacement therapy for hot flashes and night sweats, along with bone health support and proactive testing. Self-advocacy is key to getting proper diagnosis and care.

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