Author
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Author
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Robyn Koumourou Dip Ed.BA

Author
Robyn Koumourou is a current board member of the support organization Thyroid Australia. She works in the area of support and research, and also contributes in educational seminars on thyroid disease. She was diagnosed with Hashimoto’s Thyroiditis (hypothyroidism) at the age of 30, and since then has endeavoured to provide support, guidance and educational information to thyroid patients, their families and their doctors. Robyn lives in Melbourne, Victoria, Australia.  
Why I wrote this book:
The Thyroid gland has a profound effect upon the human body! This small butterfly- shaped gland at the base of the neck is responsible for the speed of all metabolic processes, in virtually every cell, tissue and organ throughout the body. If a person want to live a vibrant, healthy life, then the thyroid gland needs to function at it’s optimal level. If the thyroid gland begins to malfunction for any reason, the body will soon follow suit, and the signs and symptoms of ill health will appear.
Can you relate to some of the following conditions?
    • Fatigue and exhaustion
    • Poor memory and concentration
    • Feeling cold (especially hands and feet)
    • Constipation
    • Weight gain
    • Fluid retention
    • Dry hair and brittle nails
    • Hair Loss and thinning eye brows
    • Headaches 
    • Depression or mood swings
    • Dry, coarse skin
    • Sore throat
    • Heart palpitations_
    • Chest pain or breathlessness
    • Slow, weak pulse
    • Dizziness
    • Muscle weakness and cramping
    • Prolonged, heavy periods
    • Severe PMS _
    • Decreased libido  
    • Blood pressure changes  
    • Digestive disturbances  
    • High cholesterol _
    • Deepening, hoarse voice

Although many of the above symptoms can be associated with a variety of illnesses and diseases, they can also be attributed with an underactive thyroid gland. The list of thyroid-related health problems is long and can be overwhelming, but please keep in mind that not everyone will have all of the above symptoms. Every individual is unique, and will present with their own symptom picture.
I have written this book in the hope to answer the following questions:
    • Why is the normal functioning of our thyroid gland so important to our physical and mental health?
    • What is the thyroid gland?
    • Where is it located?
    • What is its main purpose?
    • How does the thyroid gland affect the body?
    • What are the main causes of thyroid dysfunction?
    • What signs and symptoms appear with an underactive thyroid gland?
    • How is hypothyroidism diagnosed and treated?
    • Is there life after thyroid?

On the positive side, hypothyroidism is a treatable condition, and there is light at the end of the tunnel. A patient and doctor can work together in managing a thyroid condition, and life will be worth living again.
The importance of the thyroid gland to human health has been known by western doctors for many years, and yet it is probably the most overlooked factor in a great many health problems that plague the 20th century. Hypothyroidism, a deficiency of thyroid hormones, has been implicated in the development of heart disease, obesity, depression, chronic fatigue, muscle and joint pain, digestive disturbances and skin disorders. A poorly functioning thyroid can also be a contributing factor to a number of women’s health problems, such as menstrual cycle irregularities, severe PMS and painful prolonged bleeding, reoccurring infections, infertility and miscarriages, and possibly encourage the development of uterine fibroids , ovarian cysts, and endometriosis. Hypothyroidism can lead to elevated blood cholesterol and triglyceride levels, weight gain and high blood pressure, thus further increasing the risk of heart disease and Type 2 diabetes. The thyroid gland’s role in all aspects of healthy body functioning is paramount and therefore it needs to be taken seriously.
In Australia the average person knows little about thyroid disorders and their detrimental affects upon health. Many Australians suffer with thyroid hormone imbalances without even realizing it. Some are affected more significantly than others, and go from one health professional to another seeking answers for their long list of complaints. Hundreds and thousands of dollars are spent unnecessarily on specialists, treatments and medications, all in a hope to restore health and well-being. Unfortunately, the underlying hidden cause is often overlooked or misdiagnosed, and the person’s health continues to decline. Much heartache, confusion and pain could have been spared if a person’s thyroid condition is recognized early, tested for thoroughly and treated appropriately by someone with an observant eye, a listening ear and a compassionate heart.
Too often it is assumed that thyroid problems are easy to diagnose and easy to treat, but unfortunately this is not always the case. Lack of understanding, knowledge and education in thyroid related conditions appears to be a major problem, and many thyroid sufferers remain undiagnosed. More often than not, a psychiatric diagnosis is made and antidepressantsare given which only further mask the real underlying problem.
Conventional laboratory blood testing may also be insufficient in picking up mild thyroid underactivity. Blood hormone reference ranges are rather broad and test results are often poorly interpreted. Many thyroid sufferers have felt that too much emphasis has been placed on blood test results alone, and not enough attention given to the type of symptoms they are presenting with. When a person is finally diagnosed and treatment has begun, many are poorly monitored and not given adequate information. Patients have felt quite confused and ill equipped to deal with their thyroid related problems and voice their concern about continued problems even after treatment has begun.
If you are suffering with hypothyroidism - an underactive thyroid gland - have a family history of thyroid problems, or simply suspect that something is not right with your thyroid function, then this introductory book will be helpful. It is intended to give you important basic information, in nontechnical language, so you can gain a better understanding of the thyroid gland and it’s role in the healthy functioning of your body. Hopefully, those who have been diagnosed with hypothyroidism, will be given some guidance and support, and be equipped to take control of their thyroid disorder in a positive way.
Statistics
It is estimated that around 1 in 14 Australians suffer with a thyroid condition. Over the years only small studies have been conducted into incidence and prevalence rates for thyroid disease in Australia. The 1995 National Health survey conducted by the Australian Bureau of Statistics reported that only 4% of women indicated that they had a thyroid disorder. Unfortunately this survey was not a controlled study taking a large unbiased sample of the population and testing for the evidence of thyroid disease. Controlled studies in other countries have produced results that are more reliable and probably closer to the prevalence rates in Australia.
Thyroid disorders can occur at any age, but increase in frequency after the age of 50. The most common thyroid condition is hypothyroidism – an underactive thyroid gland. About 6.5% of women have this condition, with close to 20% being afflicted after the age of 60. Approximately, 1.5% of men suffer with hypothyroidism.
The second most common thyroid condition is hyperthyroidism– an overactive thyroid gland. Approximately 2% of women and 0.25% of men suffer with this condition. Other thyroid conditions, which are less common, include thyroid cancer, thyroid nodulesand congenitalthyroid disease.
Overall, Australian statistics and research overseas indicate that around 4% of Australians have diagnosed thyroid conditions, that is, approximately 850,000 people, and another 4% remain undiagnosed or misdiagnosed, another 850,000. When you consider these numbers, thyroid conditions are extremely common, and affect many Australians; therefore, the need for education and understanding in this area is vital.