Hypothyroidism Risks and Symptoms Checklist

Use Our Thyroid Symptom Checklist to Find Out if You Could be at Risk

thyroid, hypothyroidism, hypothyroid, symptoms, checklist
Brand X Pictures/Getty images

The symptoms of hypothyroidism can sometimes be vague and confusing.  It is not easy to connect the dots when your thyroid goes out of balance. You may feel tired, achy, or depressed, or notice that you are gaining weight or losing hair. The common factor could be hypothyroidism, an underactive thyroid.

What is the Thyroid Gland?

The thyroid is a gland, part of your endocrine system, that is located at the base of your neck.

It has two lobes or sides that lay across the neck and form the shape of a butterfly.  This butterfly-shaped small gland that has a very important job: to secrete hormones that help to regulate energy, oxygen, growth, and metabolism.

You may not be aware of how important your thyroid function is to every bodily function and system until something goes wrong. This checklist will help you identify many of the symptoms that are common in hypothyroidism. 

Hypothyroidism Risk Factors

The following are common risk factors for hypothyroidism. Check all that apply.

____ I have a family history of thyroid disease
____ I have had my thyroid monitored in the past due to irregularities
____ I had a previous diagnosis of goiters/nodules
____ I currently have a goiter
____ I was treated for hypothyroidism or hyperthyroidism in the past
____ I had post-partum thyroiditis in the past
____ I had a temporary thyroiditis in the past
____ I have another autoimmune disease
____ I have had a baby in the past nine months
____ I have a history of recurrent miscarriage
____ I have had part/all of my thyroid removed due to cancer
____ I have had part/all of my thyroid removed due to nodules
____ I have had part/all of my thyroid removed due to Graves' Disease/hyperthyroidism
____ I have had radioactive iodine due to Graves' Disease/hyperthyroidism
____ I have taken anti-thyroid drugs due to Graves' Disease/hyperthyroidism

Hypothyroidism Symptoms

The following are some of the more common, officially-recognized symptoms of hypothyroidism. Check all that apply. 

____ I have unusually low blood pressure 
____ I have an unusually low heart rate 
____ I am gaining weight inappropriately
____ I'm unable to lose weight with careful diet and increased exercise
____ I am constipated, sometimes severely
____ My constipation is unrelieved by treatment or dietary changes
____ I have hypothermia/low body temperature (I feel cold when others feel hot, I need extra sweaters, etc.)
____ I feel fatigued and exhausted, even after sleep
____ I am sleeping more than usual 
____ I feel run down, sluggish, and lethargic
____ My hair is coarse and dry, breaking, brittle, and falling out
____ I am losing hair from the outer edge of my eyebrows 
____ My nails are weak, thin, and breaking
____ My skin is coarse, dry, scaly, and thick
____ My heels and elbows are calloused or especially dry
____ I have a hoarse or gravely voice
____ I have puffiness and swelling around the eyes and face
____ I have puffiness and swelling in my hands and/or feet 
____ My neck is tender, sore, or achy
____ My neck is enlarged, on one or both sides 
____ I feel a lump in my neck 
____ I have pains and aches in my joints, hands, and feet
____ I have developed carpal-tunnel syndrome, or it's getting worse
____ I am having irregular menstrual cycles (longer, or heavier, or more frequent)
____ I am having trouble conceiving a baby
____ I have a low sex drive 
____ I feel depressed
____ I feel restless and/or anxious
____ My moods change easily
____ I have feelings of worthlessness
____ I have difficulty concentrating, "brain fog"
____ I'm more forgetful lately
____ I have more feelings of sadness
____ I seem to be losing interest in normal daily activities

There are other less common symptoms that are reported more frequently in people with hypothyroidism. Check all that apply. 

____ I am getting more frequent infections, and they last longer
____ I have low endurance for exercise
____ It takes me longer to recover after exercise
____ I'm snoring more lately
____ I have/may have sleep apnea
____ I feel shortness of breath and tightness in the chest
____ I have "oxygen hunger," the need to yawn to get oxygen 
____ My eyes feel gritty and dry
____ My eyes feel sensitive to light
____ My eyes get jumpy/tics 
____ I have tinnitus (ringing in ears)
____ I get recurrent sinus infections
____ I feel some lightheadedness

A Word from Verywell

You can use this checklist to bring to your practitioner to help aid in getting a proper diagnosis of hypothyroidism. If you have already been diagnosed and are being treated for hypothyroidism, the checklist may be helpful to you in your discussions with your practitioner. Your response to treatment can help you and your practitioner better fine-tune your dosage of thyroid hormone replacement medication. Your mutual goal should be to safely relieve your hypothyroidism symptoms as much as possible. Keep in mind that you are not likely to experience all of these symptoms, but this checklist and hypothyroidism inventory can help you, and your doctor, identify the best options for diagnosis and treatment of an underactive thyroid.



Braverman, L, Cooper D. Werner & Ingbar's The Thyroid, 10th Edition. WLL/Wolters Kluwer; 2012.

Garber, J, Cobin, R, Gharib, H, et. al. Clinical Practice Guidelines for Hypothyroidism in Adults: Cosponsored by the American Association of Clinical Endocrinologists and the American Thyroid Association. Endocrine Practice. Vol 18 No. 6 November/December 2012.

Continue Reading