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Subclinical thyroid disorders.

Symptoms of the menopause transition-altered cycle length, change in amount of bleeding, sleep disruption, fatigue, mood swings, forgetfulness, heat intolerance, and palpitations-can also reflect thyroid dysfunction, common in midlife women. Although many clinicians are familiar with diagnosis and management of overt thyroid disorders, subclinical thyroid disease adds an entirely new dimension to this arena.