The main cause of an underactive thyroid, also known as hypothyroidism, is an autoimmune disorder known as Hashimoto's thyroiditis. This is a disorder in which the immune system produces antibodies which attack the thyroid gland, resulting in a decrease in the production of thyroid hormones. Other causes of hypothyroidism include a lack of iodine in the diet, certain medications, radiation, and surgical removal of the thyroid gland. In some cases, an underactive thyroid can be caused by a malfunction in the pituitary gland, which regulates the production of thyroid hormones. Additionally, hypothyroidism can be caused by certain illnesses such as HIV, lupus, and rheumatoid arthritis.
In addition to the autoimmune disorder, Hashimoto's thyroiditis, there are also other causes of hypothyroidism. These include certain medications, such as lithium and amiodarone, radiation, and surgical removal of the thyroid gland. Some individuals may also be born with an underactive thyroid due to a genetic predisposition or due to a lack of iodine in the diet.
It is important to note that the cause of an underactive thyroid can vary from person to person, and it is important to speak to a healthcare professional to determine the exact cause of an individual's hypothyroidism. Treatment for an underactive thyroid typically includes hormone replacement therapy, which involves taking a synthetic form of the thyroid hormone thyroxine. Additionally, lifestyle changes such as avoiding processed foods, exercising regularly, and reducing stress can help to manage symptoms of hypothyroidism.