Thyroid Disorders | Endocrinology and Diabetes

Endocrinology and Diabetes

Thyroid Disorders

At UC Davis Health, we offer the highest level of care for all types of thyroid disorders. We provide diagnosis, treatment and support options personalized just for you.

Medically reviewed by Jose Joaquin Lado Abeal, M.D. on Oct. 14, 2024.

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What Are Thyroid Disorders?

Your thyroid is a small gland in the front of your neck. It makes hormones that control how your body functions (metabolism). Thyroid disorders occur when:

  • Your thyroid makes too few hormones (hypothyroidism).
  • Your thyroid makes too many hormones (hyperthyroidism).
  • You have a non-cancerous or cancerous thyroid growth (nodule) or enlargement (goiter).

At UC Davis Health Division of Endocrinology, our experienced hormone doctors (endocrinologists) specialize in diagnosing and treating thyroid diseases. No matter your thyroid condition, we provide comprehensive and compassionate care.  

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Symptoms of Thyroid Disorders

Symptoms vary based on whether you have hypothyroidism or hyperthyroidism. Goiters, nodules and thyroid cancer have varied symptoms depending on size and stage.

Common Symptoms of Hypothyroidism

  • Dry hair and skin 
  • Fatigue 
  • Heavy and frequent menstruation 
  • Hoarse voice 
  • Memory problems 
  • Sensitivity to cold temperatures 
  • Weight gain 

Common Symptoms of Hyperthyroidism

  • Anxiety, irritability and nervousness 
  • Difficulty sleeping 
  • Irregular or no menstruation 
  • Muscle weakness 
  • Vision problems 
  • Sensitivity to heat 
  • Weight loss 
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Causes of Thyroid Disorders

Many factors may lead to thyroid disorders. Causes may include:

Autoimmune Conditions

Some autoimmune diseases, such as Graves’ disease, may lead to hyperthyroidism, while others, such as Hashimoto’s thyroiditis, can cause hypothyroidism. 

Congenital Defect

Some babies’ thyroid glands may not develop properly from birth, leading to hypothyroidism. 

Deficient or Excess Iodine

Not having enough iodine to help your thyroid make hormones may lead to hypothyroidism, while having too much iodine may cause hyperthyroidism.

Nodules

Overactive growths (nodules) inside your thyroid may make excess thyroid hormones and lead to hyperthyroidism.

Pituitary Gland Dysfunctions or Cancerous Growths

Rare pituitary gland conditions or cancerous growths can disrupt your hormonal balance and lead to hyperthyroidism.

Pregnancy and Childbirth

Being pregnant and having a child can temporarily cause hypothyroidism.

Radiation Therapy or Surgery

Radiation therapy or endocrine surgery to remove your thyroid (thyroidectomy) to treat head and neck cancers can lead to hypothyroidism.

Thyroiditis

Thyroid gland inflammation (thyroiditis) can cause your thyroid to leak excess hormones, which may lead to hyperthyroidism.

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Thyroid Disorders Risk Factors

Anyone can develop a thyroid disorder. But the chances are higher if you also have one or more of these risk factors:

Age

People older than age 60 have a higher chance of a thyroid disorder.

Family History

A family history of thyroid disorders increases your risk. 

Sex

Women are at higher risk for hyperthyroidism, and women over 60 have an increased risk for hypothyroidism. 

Medical Conditions

Certain medical conditions, such as celiac disease, lupus and type 1 diabetes, increase thyroid autoimmune disorder risk.

Medications

Some medications high in iodine or lithium may raise thyroid disorder risk. 

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Diagnosing Thyroid Disorders

We can do blood tests to diagnose a thyroid disorder. We may also suggest imaging tests, such as a thyroid scan or an ultrasound, to look for nodules as well as any changes in your thyroid’s size and shape.

We may also do a physical exam to feel your thyroid for any growths. If you do have a nodule, we may recommend fine needle aspiration (FNA) and a biopsy to take a sample of cells from your thyroid and test it for cancer. 

Thyroid Disorders Treatments at UC Davis Health

At UC Davis Health, our endocrinologists specialize in treating thyroid conditions. We will work with you to come up with a treatment plan that best meets your specific situation. Treatments that we offer include:

Medication

Thyroid replacement medications can treat hypothyroidism, while anti-thyroid drugs can treat hyperthyroidism. 

Radioactive Iodine Therapy

Radioactive iodine treatment (nuclear medicine) damages your thyroid’s cells, which stops it from producing too many thyroid hormones.

Surgery

Removing part or all of your thyroid (thyroidectomy) prevents it from making excessive thyroid hormones. It also removes cancerous cells and nodules or goiters that cause symptoms. You’ll need to take thyroid replacement medications after this procedure. 

Hypothyroidism affects about

5 in 100 Americans ages 12 and older

Hyperthyroidism affects about

1 in 100 Americans ages 12 and older

Source: National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK): and Hyperthyroidism 

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