Endocrinology

What Are Common Thyroid Conditions?

Hypothyroidism: A condition in which your thyroid gland doesn't produce enoughthyroid hormone Hypothyroidism develops slowly, and Symptoms vary a great deal between individuals. The only way to obtain a concrete diagnosis is through a blood test. Treatment for hypothyroidism focuses on supplementing the thyroid hormone. At present, doctors cannot cure hypothyroidism but they can help people control it.

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Hyperthyroidism: The production of too muchthyroid e hormone. Hyperthyroidism can cause a wide variety of symptoms and mimic other health problems, making it difficult for your doctor to diagnose. However several treatments are available for hyperthyroidism including mediations , radioactive Iodine therapy and surgery.

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Thyroid Nodules: A solid or fluid-filled lump. Most thyroid nodules don't cause symptoms and don't require treatment Some nodules will require a procedure called a fine needle aspiration, which can be performed in our office.. However, there are treatment options for cancerous nodules or nodules that produce additional thyroid hormones. 

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Thyroid Cancer:  Thyroid cancer is becoming more common. There are multiple types of thyroid cancer but the most common tend to be slow growing and non aggressive. This is diagnosed by a fine needle aspirate of a suspicious appearing thyroid nodule. Most thyroid cancers are treated with surgery and sometimes radioactive iodine. 

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Middlesex Health's Center for Gender Medicine and Wellness is committed to providing equitable and inclusive care to individuals who are transgender, gender non-conforming, or gender expansive, as well as excellence in access, services, and outcomes. As a community hospital, we believe that we are in a unique position to provide nearly a full spectrum of medical care in a safe, personal, and convenient setting. 

At Middlesex Health, we are pleased to have Katy Tierney, M.S.N, A.P.R.N.-B.C., lead our gender-affirming hormone therapy program, in collaboration with her colleagues in endocrinology and our network of primary care providers.

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Common Adrenal Gland Conditions

Primary Aldosteronism: a condition that occurs when the adrenal glands produce too much aldosterone, the hormone responsible for balancing potassium and sodium in the body. Primary Aldosteronism often doesn't cause clear symptoms. The first clue that you may have primary aldosteronism is high blood pressure that is especially hard to control. Learn More

Cushing's Disease: A disorder that occurs when your body makes too much cortisol. Our providers can use a variety of tests to diagnose cursing disease. Treatment depends on the cause and may include surgery, radiation, chemotherapy, or cortisol-reducing medicines. Learn More

Pheochromocytoma: A rare tumor that causes your adrenal gland to make too much adrenaline . We use lab tests and imaging tests to diagnose it. Surgery is the most common treatment. Learn More

Adrenal Insufficiency (Addison’s Disease): A disorder in which the adrenal glands don't produce enough cortisol. Symptoms vary; however, the most common symptoms are fatigue and weight loss.  Learn More

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Osteoporosis is characterized by a loss of bone mass While most people experience some loss of bone mass as they age, osteopenia and osteoporosis are not inevitable parts of the aging process. There are things that can be done to keep bones healthy such as exercising and maintaining a healthy diet, getting adequate calcium and vitamin D and avoiding smoking and drinking. Learn More

What Services Does Middlesex Health Offer?

We offer a range of medications for osteoporosis including Prolia, Reclast, Forteo, Tymlos  and Evenity. Additionally, Middlesex Health has physical therapists specifically trained in working with patients with osteoporosis

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Calcium Disorders

calcium plays many roles in the body. It is important to muscle and nerve function, as well as the release of some hormones. We care for patients with:

• Hypocalcemia (not enough calcium)
• Hypercalcemia (too much calcium)

• Hyperparathyroidism

Prolactinoma

Prolactinoma is a noncancerous tumor of the pituitary gland. This tumor causes the pituitary to make too much of a hormone called prolactin. It can lead to decreased levels of some sex hormones — estrogen in women and testosterone in men. Prolactinomoas can sometimes  cause vision difficulties, infertility and other problems. Learn More.

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