Table of ContentsView AllTable of ContentsHypothyroidismHow Common Is It?By EthnicityBy Age and GenderCauses and Risk FactorsMortality RatesScreening and Early Detection
Table of ContentsView All
View All
Table of Contents
Hypothyroidism
How Common Is It?
By Ethnicity
By Age and Gender
Causes and Risk Factors
Mortality Rates
Screening and Early Detection
Hypothyroidism(low thyroid function) is a common hormonal condition. One in 300 people in the United States is diagnosed with hypothyroidism.Females and people over age 65 are the groups most often diagnosed with hypothyroidism. While there is no cure, treatment can restore hormone levels and reduce symptoms.
Tanja Ristic / Getty Images

Hypothyroidism Overview
Hypothyroidism is a condition in which thethyroid gland(located at the front of the neck) does not produce enough thyroid hormones. Thyroid hormones are responsible for the body’s metabolism (the way it uses energy) and major functions (such as heart rate).
Without enough thyroid hormones, the body’s functions slow down, causing avariety of symptoms.While symptoms vary from person to person, common symptoms of hypothyroidism include:
How Common Is Hypothyroidism?
Hypothyroidism is a common endocrine (hormonal) disorder. In the United States, 1 in 300 people have been diagnosed with hypothyroidism.
Rates of hypothyroidism have been increasing in recent years.Levothyroxine, the most commonly used treatment for hypothyroidism, is one of the most prescribed drugs in the United States.
More than 12% of the U.S. population will develop a thyroid condition at some point during their lifetime.
Studies on the incidence of hypothyroidism in different ethnicities is limited, however, it has been established that White people are more likely to be diagnosed with hypothyroidism than other ethnicities.
In one Brazilian study, nearly 17 out of 100 White women vs. nearly 7 out of 100 Black women were diagnosed with hypothyroidism.
Hypothyroidism is 8 to 9 times more likely to develop in women than men.The risk of developing hypothyroidism increases in people who are pregnant, have recently given birth, or are going through menopause.
As people age, the risk of developing hypothyroidism increases as well. Hypothyroidism is more prevalent in people over 60.
Causes of Hypothyroidism and Risk Factors
Hashimoto’s disease(an autoimmune disease that affects the thyroid) is the most common cause of hypothyroidism. In underdeveloped countries, iodine insufficiency is another common cause.
People who have experienced the following may be more likely to develop hypothyroidism:
An individual may also be more at risk for an underactive thyroid if they have other health problems such as:
What Are the Mortality Rates for Hypothyroidism?
People who are being successfully treated for hypothyroidism can expect to reach a normal life expectancy.
However, women with hypothyroidism may be at increased risk of death from other diseases such as cardiovascular disease, diabetes, and cerebrovascular diseases such as blood clots or artery blockages.
People with long-term untreated and severe hypothyroidism may experience a rare condition known asmyxedema coma. Myxedema coma causes a slowed heart rate, altered mental state, and hypothermia (low body temperature) and can lead to death if not treated promptly.
The U.S. Preventive Services Task Force (USPSTF) does not recommend screening people who are not pregnant and do not have symptoms of hypothyroidism.Newborns are routinely screened for hypothyroidism soon after birth.
The American Thyroid Association recommends clinical evaluation for risk factors and symptoms of thyroid disease for all people seeking to become pregnant or are newly pregnant, and then performing a blood test if they are at higher risk.
In any person, a healthcare provider will take a medical history and conduct a physical exam if hypothyroidism is suspected. Because the symptoms of hypothyroidism are often vague and overlap with other diseases, diagnosis requires blood tests to measurethyroid stimulating hormone (TSH)andother thyroid hormones such as T3 and T4.
Routine blood tests to analyze thyroid function can help lead to early detection of a low-functioning thyroid.Early treatment for hypothyroidism can normalize thyroid hormone levels and prevent further damage to organs such as the heart.
Summary
Hypothyroidism is a chronic condition that occurs when the thyroid gland does not produce enough thyroid hormones. White women, people over age 60, and those with underlying health conditions, such as rheumatoid arthritis and previous damage to the thyroid, are more likely to develop the disease.
Early detection via blood tests to check thyroid hormone levels can improve diagnosis, speed up treatment, and decrease mortality.
11 Sources
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
Wilson SA, Stem LA, Bruehlman RD.Hypothyroidism: diagnosis and treatment.Am Fam Physician. 2021;103(10):605-613.
National Institute of Diabetes and Digestive and Kidney Diseases.Hypothyroidism (underactive thyroid).
Olmos RD, Figueiredo RC, Aquino EM, Lotufo PA, Bensenor IM.Gender, race and socioeconomic influence on diagnosis and treatment of thyroid disorders in the Brazilian Longitudinal Study of Adult Health(ELSA-Brasil).Braz J Med Biol Res. 2015;48(8):751-758. doi:10.1590/1414-431X20154445
American Thyroid Association.General information/press room.
Chaker L, Bianco AC, Jonklaas J, Peeters RP.Hypothyroidism.Lancet. 2017;390(10101):1550-1562. doi:10.1016/S0140-6736(17)30703-1
Chiovato L, Magri F, Carlé A.Hypothyroidism in context: where we’ve been and where we’re going.Adv Ther. 2019;36(Suppl 2):47-58. doi:10.1007/s12325-019-01080-8
Dunn D, Turner C.Hypothyroidism in women.Nurs Womens Health. 2016;20(1):93-98. doi:10.1016/j.nwh.2015.12.002
Journy NMY, Bernier MO, Doody MM, Alexander BH, Linet MS, Kitahara CM.Hyperthyroidism, hypothyroidism, and cause-specific mortality in a large cohort of women.Thyroid. 2017;27(8):1001-1010. doi:10.1089/thy.2017.0063
LeFevre ML; U.S. Preventive Services Task Force.Screening for thyroid dysfunction: U.S. Preventive Services Task Force recommendation statement.Ann Intern Med. 2015;162(9):641-50. doi:10.7326/M15-0483
Alexander EK, Pearce EN, Brent GA, et al.2017 Guidelines of the American Thyroid Association for the diagnosis and management of thyroid disease during pregnancy and the postpartum.Thyroid. 2017;27(3):315-389. doi:10.1089/thy.2016.0457 Erratum in:Thyroid. 2017;27(9):1212.
Meet Our Medical Expert Board
Share Feedback
Was this page helpful?Thanks for your feedback!What is your feedback?OtherHelpfulReport an ErrorSubmit
Was this page helpful?
Thanks for your feedback!
What is your feedback?OtherHelpfulReport an ErrorSubmit
What is your feedback?