Menopausal women with poor thyroid may be caused by hyperthyroidism, hypothyroidism, thyroid inflammatory lesions, thyroid tumors and other diseases. Clinical symptoms of different diseases are different, such as palpitations, excessive sweating, lethargy, mood changes and other manifestations, which may overlap with the symptoms of menopause, and need to rely on the thyroid function, neck ultrasound and other related tests to confirm the diagnosis. 1. Hyperthyroidism: usually manifested as easily agitated, irritability, insomnia, palpitation, fatigue, excessive sweating, low fever, tremor of hands, hyperphagia, lethargy, diarrhea, muscle weakness and other symptoms. If it is apathetic hyperthyroidism, the symptoms of hyperthyroidism are atypical, but the systemic symptoms are heavy, obvious emaciation, which may be manifested as loss of appetite, fear of cold, dry skin, neurological depression and so on. 2. Hypothyroidism: it usually manifests as chills, dry skin, constipation, fatigue, drowsiness, bradycardia, memory loss and other symptoms. 3. Inflammatory thyroid lesions: Hashimoto’s thyroiditis, which has no obvious symptoms in the early stage, and symptoms such as enlargement of the thyroid gland and pain in the neck in the later stage, accompanied by hyperthyroidism or hypothyroidism, will show the corresponding symptoms. 4. Thyroid cysts and tumors: such as hemorrhagic thyroid cysts and thyroid adenomas, which may manifest as hoarseness and difficulty in swallowing. Thyroid diseases are similar to some of the symptoms of menopause, so it is recommended to consult the doctor in time, complete the relevant examinations, and standardize the treatment after a clear diagnosis.