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As women go through various hormonal changes throughout their lives it can be challenging to differentiate between different conditions that share similar symptoms.
Hashimoto’s and menopause are two such conditions that often get confused with each other.
Hashimoto’s is an autoimmune disease that affects the thyroid gland, while menopause is a natural biological process that marks the end of a woman’s reproductive years.
In this video, we will explore the differences between these two conditions, their symptoms, causes, and treatment options.
We hope that by the end of this video, you will have a better understanding of Hashimoto’s and menopause and be able to differentiate between the two.
Martin P. Rutherford, DC
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All right. So is it Hashimoto's or menopause? I like this topic. Okay. It's just because I see it a lot. I see it a lot actually. It's kind of interesting. So here's what I see. So I have patients come here all the time
who are in their early 40s. I think some of them are in their 30s, late
30s, maybe mid to late 30s. And they come in and I have this sheet that
I have them fill out. And in that sheet there's two sections. It's a questionnaire that I have everybody
fill out, and it's like 289 questions. And there's about 20 questions in there on
female hormone chemistry. Do you have hormonal problems? You would know it that way. So I got one section that's for cycling females,
and I got one section that's for menopause, And I'll get these patients and they're like
42 and they're filling out the menopause thing. And I'm like, why are you filling that out? And I'm like, well, I went to my doctor and
I'm spotting sometimes. I have periods and they skip for three months. So they told me I'm on early menopause and
they put me on estrogen. I'm like, you're 40 years old. It's like, I get that that probably could
happen. But you have all of your organs. And you have fibromyalgia, right? So, is it Hashimoto's? Is it Hashimoto's, which is a big part of
a lot of fibromyalgia, is it Hashimoto's or Is it menopause? And I go, oh, well you have Hashimoto's. Well what's that got to do with anything? It's got like everything to do with everything. And it isn't just Hashimoto's, but Hashimoto's
is kind of a big player. So let me draw the whole picture for you here.
So what causes you to have abnormal hormonal
function, okay, hormonal biochemistry. In other words, what causes you to be like,
I don't have periods. They're long, they're short. I have one, I have one for 50 days. I don't have one for three months. And then another one shows up. What causes that? Okay. If it's not pathology, if you've been tested
and it's not pathology, it's not that your Ovaries aren't working, it's not that your
cancer in that whole area, if it's not that You have a brain tumor on your pituitary gland,
it's going to be that you have bad gut function. It's going to be that you have bad gallbladder
and liver function. It's going to be that you have poor adrenal
function, better known as chronic stress and Who's got chronic stress today, right? Nobody, right? And it's going to be blood sugar fluctuations
for those of you who don't eat as well as You should or don't eat as frequently as you
should, those types of things. And it's going to be thyroid function because
thyroid has a lot to do with progesterone Management. And thyroid has a lot to do with all of those
other things I just mentioned because if your Thyroid's off, it can screw up your entire
gut, it can slow down your pancreas, it can Slow down your liver from processing, it can
put a strain on your adrenal glands, it can Screw up your blood sugar. I mean, Hashimoto's for those of you who may
not be aware of it, it has its tentacles into Everything. So most of these women, I would say, I mean,
I'm not going to put a number on it, but I Would say 95% of those women or more were
not in early menopause, they were not going Through perimenopause. They had physiological dysfunction. And I would say, again, from a practical clinical
perspective, treating the person for the Hashimoto's, Which entails treating them for the autoimmune
aspect of that case and usually entails treating Their gut, usually is going to entail detoxing
them, usually is going to entail bringing Their stress hormones down, thus treating
that adrenal gland. All of that is going to be stabilizing the
blood sugar even for those people coming and
Goes, I already eat good, I already eat well. But all those things screw up your blood sugar
too, even if you're eating good. Getting all that under control, I would say
easily two-thirds of the time or more, that Symptomatic pattern that caused them to be
diagnosed with perimenopause stabilizes. And they start having normal periods and they
start losing all of the symptomatic abnormalities Of poor female hormone chemistry like heavy
scanty blood flow, heavy blood flow, menstrual Problems, menstrual PMS and all that type
of stuff. I'd say easily 65 to 70% of the time. And then on a treatment wise. Then once those people or patients that haven't
responded now, it's still may be just because They have been out of kilter for so long with
their female hormone imbalances that their Female organs maybe like their ovaries and
their luteinizing hormone, a hormone in their Pituitary, maybe just need a kickstart. At that point, there's very, very powerful
herbs and botanicals that can be used in different Situations, whether it's poor progesterone,
poor estrogen, whether it's poor, your brain Has to tell your ovaries to work. And there's hormones that are called FSH,
and LH, whether they need a little bit of Kickstart. And then a lot of those will be okay. When people are going through perimenopause
and if you are of like, let's say you're 47, Right, or 48 and they're telling you got perimenopause,
well that makes it a little bit more sense Or even 49 or 50. But you have to understand if you're going
through perimenopause and you don't feel good And you're like, oh my God, it's menopause
and I'm sweating, I don't want to die and It's the worst thing I've ever had. You have a lot of this stuff happening. You don't have to go through that type of
a perimenopause. And if you have Hashimoto's, you're way more
likely to go through that if you're not handling All these other things. Because once you get all of these other systems
under control, you should just go from having Your ovaries be the main feature of taking
care of your female hormone cycles and so On and so forth, to switching over to having
just your adrenal glands and your blood sugar Being the important part. And for those of you who aren't aware of that,
once you've gone into menopause, your brain's
No longer talking to your ovaries. It's about your adrenal glands. That's your secondary sex glands that makes
testosterone, estrogen, progesterone, the HEA and a number of other things. It's all about your adrenal glands. It's all about managing your stress, managing
your blood sugar, and getting all those other Things under control and taking pressure off
of your adrenal glands. And you should have nice menopause too. Yeah, but either way, if you're going, even
if you're going into, if you're in perimenopause And you have Hashimoto's and you're having
problems, yeah, the Hashimoto's is definitely Connected in some ways directly, some ways
indirectly, by affecting other things. But this is functional medicine. Okay. Functional medicine is not, you go to the
doctor, I'm having this here, take some estrogen. It's about looking at your whole physiology,
seeing what organs upstream that are creating The chemistry that's supposed to normalize
that part of your physiology that you're interested In, which in this particular case is your
ovaries and your brain, your pituitary gland If you're not menopausal yet, and your adrenals
and your blood sugar if you are. And then treat that as opposed to just throwing
an end product there of a estrogen and so On and so forth. And there may be some people who still need
that after going through all that, but not Many, at least not in my practice. So that's the connection between Hashimoto's
and perimenopause, menopause, post-menopause, All the pauses. It's a big connection, and it's something
that needs to be addressed for you to be able To resolve those hormonal issues.
