1. Is hypothyroidism a life long disorder?
In majority of cases, hypothyroidism is indeed lifelong. It may be temporary in a few conditions (eg., ingestion of certain drugs or pregnancy).

2. How is hypothyroidism treated?
Treatment is referred to as ‘Replacement’ treatment i.e., the deficient thyroid hormone is replaced externally in tablet form.

3. Does the treatment have any side effects?
The treatment replaces the natural hormone which is deficient with synthetic hormones in tablet form which is safe, if you take the right dose as advised by your doctor. Under-treatment will cause inadequate replacement of the deficient hormone and hence symptoms persist. On the other hand, over-treatment may cause irritability, tremors, fast and irregular heart beats. It is important to take adequate dose of thyroid hormone regularly as prescribed by your doctor.

4. How soon after starting treatment will symptoms disappear?
Certain symptoms like puffiness and weight generally improve in a couple of weeks. Thereafter, improvement in appetite and constipation occur. Some symptoms like hoarseness of voice, changes in hair and skin may require several months to disappear.

5. Does the diet have to be changed?
Diet need not be changed. On the other hand, if you are suffering from some other diseases like diabetes or high blood pressure, appropriate modification of diet may be needed kindly consult your doctor / qualified dietician for this purpose.

6. Can hypothyroid patients lead a normal married life?
Hypothyroid patients who are properly treated can lead a normal sex life. Hypothyroid women in particular who are properly treated can have regular menstrual cycles, normal conception, pregnancy and delivery. There is no excessive risk of defects in newborn. The offspring of a hypothyroid individual need not necessarily have thyroid disorder. 

7. What happens if a hypothyroid patient becomes pregnant?
The dose of thyroxine has to be adjusted during the period of pregnancy. Many patients may need an increasing dose. However the dosage adjustment should only be done by your doctor. As soon as you miss a menstrual cycle get the pregnancy confirmed and contact your doctor as early as possible.

8. What if I am on other medication?
If you are already taking any medication for some other disease, please inform you doctor about the same and get the necessary advice.