Healthy Education

Connecting Thyroid Disease and PCOS

November 18th, 2025

Have you ever wondered how your thyroid health might be influencing your PCOS symptoms, vice versa? If you’re navigating either of these conditions, understanding their connection can be a game-changer for your overall health. Let’s explore how these two systems interact and what you can do to support balance.

What Is Thyroid Disease?

Your thyroid is a small gland with a big job: it regulates metabolism, energy, and hormone balance. When it’s underactive (hypothyroidism) or affected by autoimmune conditions like Hashimoto’s, your whole body feels the impact.

Read more about Thyroid Disease →

What Is PCOS?

Polycystic Ovary Syndrome (PCOS) is a hormonal condition that can affect menstrual cycles, fertility, and metabolism. It often shows up as irregular periods, weight changes, or skin and hair concerns.

Read more about PCOS →

How Are Thyroid Disease and PCOS Connected?

Here’s where it gets interesting: research shows a strong link between thyroid disorders, especially hypothyroidism, and PCOS. Why? Both conditions share common threads like hormonal imbalance, insulin resistance, and inflammation. When one system is off, it can ripple through the other.

Why Does This Matter?

Managing one condition without addressing the other can make symptoms harder to control. For example, hypothyroidism can amplify PCOS symptoms like weight gain and irregular cycles. Treating both together often leads to better energy, mood, and metabolic health.

Should You Get Tested?

Yes! If you have PCOS, ask your provider about a full thyroid panel (TSH, Free T4, Free T3, and thyroid antibodies). Likewise, if you have thyroid disease and notice irregular periods or stubborn weight changes, consider PCOS testing. Early detection means better outcomes.

How Can You Support Both Conditions?

Think of this as a whole-body approach:

  • Balance Blood Sugar: Eat meals with protein and fiber, and limit refined cards.
  • Reduce Stress: Mindfulness, yoga, and acupuncture can calm hormonal chaos.
  • Nutrient Support: Omega-3s, vitamin D, magnesium, and selenium are key players.
  • Move Your Body: Regular exercise helps regulate insulin and thyroid metabolism.
  • Personalized Care: Supplements and treatment plans should be tailored, work with a practitioner who understands both conditions.

Final Thoughts

Your hormones don’t work in isolation, they’re part of an interconnected system. If you’re experiencing symptoms, look at the bigger picture. Partner with a healthcare provider who sees the link between PCOS and thyroid health and can guide you toward balance.

Expert commentary on “Connecting Thyroid Disease and PCOS” and medical review provided by Neha Bhatt, NMD.

Headshot of a women in a lab coat standing outside | Neha Bhatt