Perimenopausal and postmenopausal women are at increased risk of thyroid disease, but there is no clear evidence that former causes the latter. Still, menopause and thyroid disease are intertwined. Not only do their effects overlap, but thyroid hormones and estrogen can influence each other and exacerbate symptoms. Whether you already have an established diagnosis of thyroid disease when you reach menopause or you develop it during this new period of your life, it can be tricky to pinpoint which of the two issues is causing symptoms such as trouble sleeping and weight changes. In this guide, we look at the link between menopause and thyroid conditions, including how one might affect the other, and what the outlook is and possible solutions.