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Variable Symptoms

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Although many of the symptoms of an underactive thyroid are common to both primary and secondary hypothyroidism, there are some suggestive differences that either you or your doctor may notice.

Table 3.3Clues to help you determine whether you have primary or secondary hypothyroidism

Primary hypothyroidism Secondary hypothyroidism
Periods are likely to be heavier Periods may be absent (amenorrhoea)
Skin and hair are coarse Skin and hair are dry; skin may be pale and lacking in pigment
Breasts remain normal-sized Breasts may be small and shrunken
Heart is enlarged due to pericardial effusion (fluid accumulation in the sac surrounding the heart) Heart is small
Blood pressure and blood sugar levels are normal Blood pressure is low, often with low blood sugar (hypoglycaemia) due to adrenal insufficiency or a shortage of growth hormone
The Healthy Thyroid: What you can do to prevent and alleviate thyroid imbalance

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