Hypothyroidism affects millions of women, and your likelihood of developing it increases once you hit menopause. Hypothyroidism may account for symptoms sometimes attributed to menopause, according to a 2007 study led by Ahmed Badawy, M.D., of Mansoura University Hospitals, Mansoura, Egypt, and published in the "Journal of Obstetrics & Gynaecology."
Because clinicians may overlook common hypothyroidism symptoms in menopausal women, the condition often goes undiagnosed, the American Thyroid Association reports. Moreover, symptoms vary by individual, complicating the situation further.
Fatigue
A sluggish thyroid can make you feel overtired. Hypothyroidism can cause fatigue and an overall loss of energy. You may have trouble waking up in the morning and need more sleep during the day.
Mental and Emotional Symptoms
Hypothyroidism often affects your emotions, leading to mood swings, depression and irritability. Sometimes it impairs memory and seems to slow cognitive function.
Skin Problems
Your skin may feel dry and itchy. It may even take on a yellow or orange tint due to a build-up of carotene from fruits and vegetables.
Dry, Thinning Hair
Your hair may become drier and more brittle. Some women lose hair, but you're unlikely to become bald.
Weight Gain
Hypothyroidism can lead to weight gain and make it difficult for people to lose weight. This may seem puzzling, given that hypothyroidism often diminishes the appetite.
Joint and Muscle Pain
You may experience increased muscle and joint pain. In fact, carpal tunnel syndrome is one symptom of hypothyroidism.
Other Symptoms
Other common symptoms associated with hypothyroidism include hoarseness, hearing loss, constipation and sensitivity to cold temperatures. Your face, hands, ankles and feet may become puffy. Keep in mind that you cannot identify hypothyroidism by symptoms alone. Blood tests provide the only sure way to diagnose it.


