Thyroid Problems in Women: Why Indian Women Are More at Risk and What You Should Know

Thyroid disorders are increasingly recognised as a major health issue in India, affecting a large number of people across age groups. What stands out in medical data is the pronounced gender gap: women are much more likely to develop thyroid conditions than men, and this trend has been observed across urban and rural populations. Understanding why this happens requires looking at hormones, immunity and lifestyle factors specific to women’s health.
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The thyroid is a small gland in the front of the neck that produces hormones responsible for regulating metabolism, energy levels, body temperature and many other vital functions. When the gland produces too much hormone or too little, it leads to disorders known as hyperthyroidism or hypothyroidism. Both conditions can cause a wide range of symptoms, from fatigue and weight changes to mood swings and menstrual irregularities.

One reason why women are disproportionately affected is their hormonal milieu. Female hormonal cycles - including puberty, pregnancy and menopause - influence the immune system and endocrine responses. These fluctuations make women more susceptible to autoimmune thyroid disorders, a leading cause of both high and low thyroid function. Autoimmune conditions occur when the body’s defence system mistakenly attacks its own tissues, and women are generally more prone to autoimmune diseases than men.


Pregnancy, in particular, is a critical period for thyroid health. During pregnancy, the body undergoes major hormonal changes, and the thyroid has to work harder to meet the increased demands. If thyroid function is not properly monitored and supported, both mother and baby can experience complications. Many women only discover an underlying thyroid imbalance when they seek care for fertility issues or complications during pregnancy.

Another factor linked to thyroid disorders in women is nutritional imbalance. Iodine, selenium and iron are nutrients that play key roles in thyroid hormone synthesis and conversion. Deficiencies in these nutrients can increase the risk of thyroid dysfunction. While iodine deficiency was once a major public health concern in India, iodine fortification of salt has reduced cases related to lack of iodine. However, dietary habits, micronutrient absorption issues and varying nutritional access continue to influence thyroid health.


Symptoms of thyroid imbalance can vary widely, and they can be subtle in the early stages. Hypothyroidism often presents with fatigue, weight gain, dry skin and sensitivity to cold, while hyperthyroidism may show up as weight loss, rapid heartbeat, anxiety or heat intolerance. Many of these signs overlap with common experiences such as stress or aging, which can delay diagnosis. Because women are at higher risk, health professionals stress the importance of regular screening, especially if there is a family history of thyroid disease or the presence of related symptoms.

Lifestyle changes, including stress management, balanced diet and regular physical activity, can support thyroid function. Additionally, awareness and early detection through simple blood tests help prevent long-term complications such as heart disease, infertility and bone loss.

Healthcare providers emphasise that thyroid disorders are manageable once identified. With appropriate medical care, including hormone replacement therapy for hypothyroidism or medication and monitoring for hyperthyroidism, many individuals lead healthy lives. Increasing awareness about the gender disparity in thyroid risk is a step toward encouraging more women to seek evaluation and care.