AN OBSERVATIONAL STUDY TO EVALUATE THYROID DYSFUNCTION IN WOMEN WITH MENSTRUAL DISORDERS
Main Article Content
Keywords
Abnormal uterine bleeding, thyroid, hypothyroidism, menstrual disorders, hyperthyroidism
Abstract
OBJECTIVE: Menstrual disorders are one of the main reasons why women attend the gynecology outpatient department. The present study was aimed at finding the occurrence of thyroid dysfunction in women with menstrual abnormalities in the age group of 15- 50 years.
METHODS: The present hospital-based cross-sectional study was conducted among women with menstrual disorders in the age group of 15- 50 years, attending outpatient departments or admitted. Pregnant women, history of bleeding disorders, premalignant and malignant lesions of the cervix and uterus were excluded from the study. A detailed history was taken. After obtaining data, patients were grouped into different categories based on their pattern of bleeding and their thyroid status. All patient data were collected on Microsoft windows excel sheet, and statistical analysis was performed on the SPSS v21 on windows 10. The p-value of <0.05 was considered statistically significant.
RESULTS: In the present study total of 122 patients fulfilling inclusion criteria were included with a mean age of 34.17±9.755yrs of age. the majority had heavy menstrual bleeding. There was a higher incidence of heavy menstrual bleeding among the patients with hypothyroidism and subclinical hypothyroidism. Irregular cycles were more common among subclinical hypothyroidism. (p<0.05)
CONCLUSION: Present study documented a significant relationship between thyroid dysfunction with abnormal uterine bleeding Thus it is better to assess thyroid status in all the patients with menstrual abnormality.
References
2. Cunningham FG, Leveno KJ, Bloom SL, Spong CY, Dashe JS. Williams obstetrics, 24e. Mcgraw-hill New York, NY, USA; 2014.
3. Seshadri L. Essentials of gynaecology. Wolters kluwer India Pvt Ltd; 2016.
4. Byna P, Siddula S, Kolli S, Shaik M. Thyroid abnormality in perimenopausal women with abnormal uterine bleeding. Int J Res Med Sci. 2015;3250–3.
5. Gowri M, Radhika BH, V H, Ramaiaha R. Role of thyroid function tests in women with abnormal uterine bleeding. Int J Reprod Contracept Obstet Gynecol. 2016 Dec 24;3(1):54–7.
6. Ajmani NS, Sarbhai V, Yadav N, Paul M, Ahmad A, Ajmani AK. Role of Thyroid Dysfunction in Patients with Menstrual Disorders in Tertiary Care Center of Walled City of Delhi. J Obstet Gynaecol India. 2016 Apr;66(2):115–9.
7. Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, editors. Index. In: Williams Textbook of Endocrinology (Thirteenth Edition) [Internet]. Philadelphia: Elsevier; 2016 [cited 2021 Jan 20]. p. 1855–916. Available from: http://www.sciencedirect.com/science/article/pii/B97803232 97387000447
8. Kundoor R, Rani BS. Thyroid function in abnormal uterine bleeding. Int J Reprod Contracept Obstet Gynecol. 2019 May 28;8(6):2270.
9. Khatiwada S, Gautam S, Kc R, Singh S, Shrestha S, Jha P, et al. Pattern of Thyroid Dysfunction in Women with Menstrual Disorders. Ann Clin Chem Lab Med. 2016 May 3;2(1):3–6.
10. Koyyada A. CLINICAL STUDY ON INTERPRETATION OF HYPO AND HYPERTHYROID DISORDERS WITH VARIOUS MENSTRUAL DISTURBANCES. Curr Med Res Pract. 2020 Jul;S2352081720300866.
Article Sidebar
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
Dr. Tasneem Backer P
Pg Student In Ms Obstetrics & Gynaecology Jubilee Mission Medical College & Research Institute, Thrissur , Kerala , 680001,
Dr. Saley Daniel
Assistant Professor Department Of Obstetrics & Gynaecology Jubilee Mission Medical College Research Institute , Thrissur , Kerala , 680001,