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Study Papers | Obstetrics and Gynecology | India | Volume 12 Issue 3, March 2023
Correlation of Thyroid Dysfunction with Abnormal Uterine Bleeding among Reproductive Age Women
Dr. G. L. Priyanka | Dr. Korada Kavya | Dr. Yalla Annapoorna [3]
Abstract: The most prevalent endocrinological disorders are thyroid abnormalities. Menstrual abnormalities, infertility, and aberrant sexual development are all linked to hypothyroidism. Occult menorrhagia is associated with subclinical hypothyroidism. Hyperthyroidism usually associates with oligomenorrhea and amenorrhea [4]. Abnormal uterine bleeding (AUB) are mainly due to polyp, adenomyosis leiomyoma, malignancy, hyperplasia, coagulopathy and ovulatory disorders. Objective: To study the prevalence of thyroid abnormality in patients with different reasons of AUB. Methodology: Conducted a hospital - based cross - sectional study on both inpatient and outpatient patients from July 1 to December 1, 2022, the department of obstetrics and gynaecology at Tertiary care centre. Structured questionnaires and a clinical evaluation were used to collect data. In addition to routine investigations, serum TSH, total T3, and T4 testing were performed in all patients. Results: Among 203 patients with AUB majority belongs to 31 - 40yrs. AUB was most prevalent in patients with parity status two (58%). Menorrhagia (60%) and polymenorrhea (26%) were the two most prevalent AUB patterns.30% of the 203 cases of which 24% are hypothyroid and 6% are hyperthyroid. Menorrhagia (26%) is the most prevalent bleeding pattern in between the ages of 31 and 40. Most common structural cause of AUB is fibroid (20%). Menorrhagia (12%) and polymenorrhea (8%) are the most frequent bleeding patterns in hypothyroid patients. The most frequent bleeding complaint is oligomenorrhea (6%) in cases with hyperthyroidism.4% of hypothyroid individuals had severe anaemia. In age group of 31 - 40yrs, 16 % are hypothyroid and with age >40yrs, 6 % are hyperthyroid and 8% hypothyroid. Conclusions: Our study leads us to the conclusion that abnormal uterine bleeding and thyroid dysfunction are strongly correlated. If the thyroid issue is managed, unnecessary surgical intervention can be prevented.
Keywords: Thyroid profile, Abnormal uterine bleeding
Edition: Volume 12 Issue 3, March 2023,
Pages: 360 - 365