There is no clear evidence that menopause causes elevated thyrotropin, and it usually does not. Possible causes of elevated thyrotropin include primary hypothyroidism, Hashimoto’s disease with hypothyroidism, exogenous thyrotropin-secreting tumors (e.g., lung, breast), and recovery from subacute thyroiditis. Ingestion of lithium metal, potassium iodide, and thyrotropin-releasing hormone can increase thyrotropin. Some studies have shown that blood levels of total thyroxine are unchanged in menopausal women, and triiodothyronine hormone may decrease by 25% to 40% with age, but there is no hypothyroidism. Menopausal women with elevated thyroid stimulating hormone are advised to seek prompt medical attention to avoid delays.