Dr. Ankur Bhanushali

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THYROIDECTOMY IN WOMEN

Thyroidectomy in Women – A Complete Guide

Understanding the Surgery, Recovery & When It Is Needed

Thyroid disorders are extremely common in women, especially between the ages of 20–50 years. While many thyroid problems are managed with medicines, some conditions require thyroidectomy, a surgical procedure to remove part or all of the thyroid gland.

This guide explains everything a woman should know—why surgery is done, types of thyroidectomy, benefits, recovery, risks, and post-operative care.


🔍 What Is Thyroidectomy?

Thyroidectomy is the surgical removal of the thyroid gland, either partially or completely. It is usually recommended when the thyroid becomes enlarged, forms nodules, causes hormonal imbalance, or carries a risk of cancer.


👩 Why Thyroid Problems Are More Common in Women?

Women experience thyroid disorders more due to:
✔ Hormonal fluctuations (puberty, pregnancy, menopause)
✔ Higher autoimmune tendency
✔ Genetic predisposition
✔ Stress & lifestyle factors

This makes early diagnosis and timely treatment extremely important.


🌟 Conditions That May Require Thyroidectomy

Thyroidectomy is usually recommended for:

1. Thyroid Nodules

  • Large benign nodules
  • Nodules causing difficulty in swallowing or breathing
  • Suspicious nodules on FNAC (risk of cancer)

2. Thyroid Cancer

Surgery is the first-line treatment for papillary, follicular, and medullary thyroid cancers.

3. Multinodular Goitre

When the thyroid becomes enlarged with multiple nodules, causing cosmetic or compressive symptoms.

4. Hyperthyroidism

Especially in cases where:

  • Medicines are ineffective
  • Radioactive iodine is not preferred
  • Toxic nodules cause excessive hormone production

5. Recurrent Thyroid Cysts


🩺 Types of Thyroidectomy

Your surgeon will decide the best type depending on symptoms, ultrasound & biopsy findings.

1️⃣ Total Thyroidectomy

Entire thyroid gland removed.
👉 Common for thyroid cancer, multinodular goitre & Graves’ disease.

2️⃣ Subtotal (Partial) Thyroidectomy

Only a part is removed.
👉 Used for benign nodules or one-sided enlargement.

3️⃣ Hemithyroidectomy

Only one lobe of the thyroid removed.
👉 Done when nodules/cysts are confined to one side.

4️⃣ Minimally Invasive Thyroid Surgery (MITS)

Smaller incision, faster healing, less scarring.


📌 Symptoms That Indicate You May Need Evaluation for Surgery

Women may experience:

• Neck swelling or visible lump
• Difficulty swallowing
• Voice changes
• Breathing discomfort
• Persistent hyperthyroid symptoms
• Recurrent throat pressure
• Rapidly growing thyroid nodules


⚡ Benefits of Thyroidectomy

✔ Relieves compression symptoms
✔ Removes cancerous or high-risk nodules
✔ Treats uncontrolled hyperthyroidism
✔ Improves quality of life
✔ Reduces recurrence in multinodular goitre
✔ Safe, modern & minimally invasive options available


🧪 Pre-Surgery Evaluation

Before thyroidectomy, women undergo:

• Thyroid function tests (TSH, T3, T4)
• Ultrasound of thyroid
• FNAC biopsy for nodules
• Laryngoscopy (vocal cord check)
• Calcium level check
• Medical fitness evaluation

These ensure safe and accurate surgical planning.


🔧 How the Surgery Is Performed

Thyroidectomy is done under general anesthesia.

Step-by-step process:

  1. Small incision in the lower neck
  2. Careful identification of nerves & parathyroid glands
  3. Removal of diseased thyroid part
  4. Closure with cosmetic sutures
  5. Drain placement (if required)

Time required: 1.5–2 hours
🏥 Hospital stay: Usually 1 day


📅 Recovery After Thyroidectomy

Women heal well and can return to normal work within 5–7 days.

During recovery, expect:

• Mild pain or stiffness in neck
• Temporary voice hoarseness
• Swelling at the incision site
• Weakness for 2–3 days

These improve gradually.


💊 Do You Need Hormone Tablets After Surgery?

This depends on the type of thyroidectomy:

Total thyroidectomy: Lifelong thyroxine tablets required
Partial removal: Many women maintain normal thyroid function without medicines
Cancer cases: Hormone suppressive therapy is needed

Regular thyroid level monitoring is essential.


⚠ Rare Risks (Minimized with Expert Surgeon)

Though generally safe, potential risks include:

• Mild voice changes
• Low calcium levels (temporary)
• Bleeding
• Scar formation (minimal with modern surgery)

Risk is extremely low when performed by an experienced thyroid surgeon.


👩‍⚕️ Life After Thyroidectomy – What to Expect

Women can live completely normal, healthy lives after thyroid removal.

You can expect:

✔ Normal work routine
✔ Normal pregnancy and fertility
✔ Stable weight with proper thyroid dose
✔ Excellent cosmetic results
✔ No restrictions in daily activities


🍎 Post-Surgery Care Tips

• Take medicines regularly
• Monitor thyroid levels every 3–6 months
• Maintain a balanced diet
• Avoid heavy lifting for 1–2 weeks
• Keep the incision clean & dry
• Follow-up with your surgeon


🏥 Thyroid Surgery at Dr. Ankur Surgical Clinic, Thane

Our centre offers:

⭐ Minimally invasive thyroid surgery
⭐ Expert evaluation using latest ultrasound & diagnostics
⭐ Fast recovery & cosmetic scar closure
⭐ Hormone balancing & long-term follow-up
⭐ Comfortable daycare or short-stay facility

📍 Dr. Ankur Surgical Clinic

Shop No. 4, Laxmi Krupa Apartment,
Edulji Road, Charai, Thane West – 400602

📞 +91 86910 33066
🌐 bestsurgeoninthane.com

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