Hypothyroidism : Hypothyroidism means " Insufficient secretion of thyroid hormones ( T3 and T4 ) by the thyroid gland. Causes Of hypothyroidism: 1. Thyroid Parenchymal defects: a) A congenital defect in thyroid parenchyma b) Radiation injury to thyroid parenchyma (e.g radio-iodine, external radiation) c) Surgical ablation d) Hashimoto's thyroiditis. 2. Interference with Thyroid hormone synthesis: a) idiopathic primary hypothyroidism (possibly due to immune blockade of TSH receptors) b) Heritable biosynthetic defects c) Iodine deficiency. d) Drugs (e.g iodides, p-aminosalicylic acid, lithium etc) e) Hashimoto Thyroiditis 3. Others: a) Pituitary lesions reducing TSH secretion b) Hypothalamic lesions that reduce thyrotropin-releasing hormone (TRH) secretion. TRH stimulates the pituitary to secrete TSH. Types Of Hypothyroidism: There are three types of hypothyroidism. 1. Primary Hypothyroidism: In primary hypothyroidism, problems lie in the thyroid ...